human factors & safety management systems mike o’leary eddie rogan
TRANSCRIPT
Human Factors &Safety Management Systems
Mike O’Leary
Eddie Rogan
Accidents,
hardly ever happen without warning!
Led to the setting up of ‘Aviation Safety Reporting System’ (ASRS) by NASA
This collected incident reports from pilots, controllers, mechanics, cabin attendants and many others involved in aviation operations.
4 Elements to a successful Safety Reporting Programme
Trust
Confidentiality
Motivation
Ease of Reporting
TRUST
Is the most important foundation of a successful reporting programme
Without such trust, reports, if any, will be highly selective
Vital to earn the trust of the reporter
CONFIDENTIALITY
Reporters confident that their own identities & colleagues are indemnified against disciplinary procedures
Separate the organisation that receives the incident reports from the authority regulating the reporters from the organisation that employs them
Motivation
Reporters need to see some safety value in their reports
Need to know how their reports will be used
Outcomes (Updates) in a weekly page or monthly newsletter is essential
Ease of Reporting
Collection and returning of questionnaires to a suitable location to protect confidentiality
BA - Crew members file their reports into the Safety Services Office
2 Types of Questionnaires
Air Safety Report (ASR)
Human Factor Questionnaire (HFR)
Confidential Human Factors Reporting System
BASIS
Front Screen of BASIS
The browser lists all the HF events in the selected database along with various fields such as Risk, Date, HF Admin, Status etc.
Browser
Details
This tab gives the various notes associated with the incident.
9 Notes Tab
Questions
Remember:
Your incident is probably not unique. Something like it has almost certainly happened to someone else already.
Your report might prevent the same thing happening again or provide a colleague with a useful solution to a problem.
www.superstructuregroup.com
Human Factors and SMS?
Presentation
By
Eddie Rogan
Aviation Solutions Director
Superstructure Group
www.superstructuregroup.com
What is AQD ?
AQD is the world’s leading aviation Safety and Risk Management software, used by more airlines to support their SMS than any other system
AQD facilitates application of best practice safety management and quality assurance principles to effect a cycle of continuous improvement as defined in the ICAO SMS process
AQD provides a comprehensive set of flexible and easy to use tools to support each phase of the process
www.superstructuregroup.com
What is AQD ?
www.superstructuregroup.com
91 CustomersAirlines, airports, ATCs and aviation authorities including....
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91 Customers
We also have an Australian railway customer......................
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How AQD Works
AQD enables your organisation to: Gather data from multiple sources Analyse it with ease Track documented fixes Monitor on going operational integrity
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Safety Audits Risk Assess
OpsEnvironment Health and
Safety
Human Factors
Security
Integrated safety & risk management
A single view of Safety data
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What is AQD ?
One-stop-shop for safety and risk informationOne-stop-shop for safety and risk information
AQDAQD
A single view of information
A single view of information
IncidentsIncidents
DispatchersDispatchers
ReportsReports
Ground crewGround crew
Flight AttendantsFlight Attendants
Airport StaffAirport Staff
PilotsPilotsIOSAIOSA
Internal AuditsInternal Audits MechanicsMechanics
IEPIEP
LOSALOSA
Safety reports, Audits and Risk Assessments
Safety reports, Audits and Risk Assessments
Flight DataFlight Data
Integrated Risk ManagementIntegrated Risk Management
Safety
Quality
Security
Occupational
Environmental
etc
Safety
Quality
Security
Occupational
Environmental
etc
Human FactorsHuman Factors
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Jim Reason’s Theory
Occurrence Hazard
ReportAudit
Programme
Latent Condition
s
Finding
Cause
ActionActionAction
Finding
Cause
Action
Cause
Defences
Investigate
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Finding
Cause
Action
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How AQD Works - Monitor
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Functionality Summary
Report Incidents and Occurrences
Manage Investigations
Manage Audits
Identify Causal Factors
Track Actions
Manage Risk
Analyse data
Communicate to management and staff
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Our Vision
To be the global leader in enterprise risk management information systems that meets the needs of the converging executive operational arenas and drives behavioral changeBy:
• Expanding an already proven user friendly set of processes
• Leveraging established blue chip industry relationships and experience
• Delivering automated and integrated best practice business risk processes across the enterprise
Benefits• Reduction of risk, costs and disruptions• Organizational insights• Process to drive behavioral change
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Realising the Vision
Aviation Safety & Quality Management System
Safety & Risk Management
Enterprise Risk Management
2008-2009
2009 +
www.superstructuregroup.com
Thank You.