session 1 - safety management & safety...
TRANSCRIPT
Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.
Session 1
Safety Management and Safety Investigation
SEMINAR ON AIRCRAFT ACCIDENT INCIDENT INVESTIGATION
11-15 AUGUST 2014
Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.
• ICAO safety management SARPS1
• State Safety Programme (SSP) 2
• Safety Management System (SMS)3
• Safety investigation4
2
Safety Management Systems regulations
Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.
• ICAO safety management SARPS1
• State Safety Programme (SSP) 2
• Safety Management System (SMS)3
• Safety investigation4
3
Safety Management Systems regulations
Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.
States
State Safety Programme
Acceptable level of safety performance
(ALoSP)
Service providers
Safety Management
Systems
Safety performance of the SMS
4Copyright@2013 Civil Aviation Authority of Singapore
ICAO safety management SARPS
SSP• Components
SSP• Elements
SSP
• 4 Components
• 11 Elements
SMS• Components
SMS• Elements
SMS
• 4 Components
• 12 Elements
5Copyright@2013 Civil Aviation Authority of Singapore
ICAO safety management SARPS
SSP Components
1
• State safety policy and objectives
• State safety policy and objectives
2
• State safety risk management
• State safety risk management
3
• State safety assurance
• State safety assurance
4
• State safety promotion
• State safety promotion
SMS Components
1
• Safety policy and objectives
• Safety policy and objectives
2
• Safety risk management
• Safety risk management
3• Safety assurance• Safety assurance
4• Safety promotion• Safety promotion
6
ICAO safety management SARPS
7
1. State safety policy and objectives
1.1 State safety legislative framework
1.2 State safety responsibilities and accountabilities
1.3 Accident and incident investigation
1.4 Enforcement policy
2. State safety risk management2.1 Safety requirements for service providers SMS
2.2 Agreement on service providers safety performance
3. State safety assurance
3.1 Safety oversight
3.2 Safety data collection, analysis and exchange
3.3 Safety data driven targeting of oversight on areas of greater concern
or need
4. State safety promotion
4.1 Internal training, communication and dissemination of safety
information
4.2 External training, communication and dissemination of safety information Copyright@2013 Civil Aviation Authority of Singapore
ICAO safety management SARPS
SSP
Framework
Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.
• ICAO safety management SARPS1
• State Safety Programme (SSP) 2
• Safety Management System (SMS)3
• Safety investigation4
9
Safety Management Systems regulations
Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.
• States shall establish a State
Safety Programme (SSP), in
order to achieve an acceptable
level of safety performance
(ALoSP) in civil aviation.
State Safety
Programme
• An integrated set of
regulations and activities
aimed at improving safety.Definition
10
State Safety Programme
Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.
• The acceptable level of safety
performance (ALoSP) to be
achieved shall be established
by the State
State Safety
Programme
ALoSP
11
State Safety Programme
State sets ALoSP
Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.
• An SSP is a management
system for the regulation
and administration of safety
by the State.
State Safety
Programme
• State safety policy and objectives
• State safety risk management
• State safety assurance
• State Safety Promotion
ICAO SSP
framework
12
State Safety Programme
13
1. State safety policy and objectives
1.1 State safety legislative framework
1.2 State safety responsibilities and accountabilities
1.3 Accident and incident investigation
1.4 Enforcement policy
2. State safety risk management2.1 Safety requirements for service providers SMS
2.2 Agreement on service providers safety performance
3. State safety assurance
3.1 Safety oversight
3.2 Safety data collection, analysis and exchange
3.3 Safety data driven targeting of oversight on areas of greater concern
or need
4. State safety promotion
4.1 Internal training, communication and dissemination of safety
information
4.2 External training, communication and dissemination of safety information Copyright@2013 Civil Aviation Authority of Singapore
State Safety Programme
SSP
Framework
Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.
• Implementation of an SSP
must be commensurate with
the size and complexity of the
State’s aviation system
State Safety
Programme
14
State Safety Programme
Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.
• Implementation of an SSP may
require coordination among
multiples authorities
responsible for individual
element functions in the State
State Safety
Programme
15
State Safety Programme
Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.
• Ensure that a State has the
minimum required regulatory
framework in place.
• Ensure harmonization amongst the
State‘s regulatory and
administrative organizations in their
respective safety risk management
roles.
State
Safety
Programme
(SSP)
Objectives
16
State Safety Programme
Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.
• Facilitate monitoring and
measurement of the aggregate
safety performance of the State‘s
aviation industry.
• Coordinate and continuously
improve the State‘s safety
management functions.
• Support effective implementation
and interaction with service
providers‘ SMS.
State
Safety
Programme
(SSP)
Objectives
17
State Safety Programme
Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.
• ICAO safety management SARPS1
• State Safety Programme (SSP) 2
• Safety Management System (SMS)3
• Safety investigation4
18
Safety Management Systems regulations
Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.
• An SMS is a system to assure
the safe operation of aircraft
through effective
management of safety risk.
Safety
Management
System
(SMS)
• SMS is necessary for an aviation
organization to identify hazards
and manage safety risks
encountered during the delivery of
its products or services.
Purpose
19
Safety Management Systems
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• A systematic approach
to managing safety,
including the necessary
organizational
structures,
accountabilities, policies
and procedures.
Safety
Management
System
(SMS)
Definition
20
Safety Management Systems
Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.
• Service providers are
responsible for
establishing a SMS
Safety
Management
System
(SMS)
• States are responsible,
under the SSP, for the
acceptance and oversight
of service providers’ SMS
State Safety
Programme
(SSP)
21
Safety Management Systems
Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.
State Safety
Programme
(SSP)
Safety
Management
System
(SMS)
22
Safety Management Systems
Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.
• States shall require, as part
of their State safety
programme (SSP), that a
[service provider] implement
a safety management
system (SMS) acceptable to
the State that, as a minimum:
Safety
Management
System
(SMS)
Objectives
23
Safety Management Systems
Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.
• identifies safety hazards;
• ensures the implementation of
remedial action necessary to
maintain agreed safety
performance
• provides for continuous
monitoring and regular
assessment of the safety
performance; and
• aims at a continuous
improvement of the overall
performance of the safety
management system
Safety
Management
System
(SMS)
Objectives
24
Safety Management Systems
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Generic processes
Hazard identification
Remedial action
Continuous monitoring
Continuous improvement of SMS
Basic problem solving
activities
Finding out what is wrong
Proposing and implementing a fix
Making sure proposed fix works as intended
Constantly improving management systems
25
Safety Management Systems
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Service providers that are required to
implement ICAO SARPs on SMS:
Approved training organizations that are exposed
to safety risks during the provision of their services
Aircraft operators
Approved maintenance organizations
Organizations that design and manufacture aircraft
Air traffic services providers
Certified aerodromes
26
Safety Management Systems
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• A safety management system
(SMS) shall clearly define
lines of safety accountability
throughout a service
provider’s organization,
including a direct
accountability for safety on
the part of senior
management.
Safety
Management
System
(SMS)
Safety
accountabilities
27
Safety Management Systems
Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.
• Successful safety
management requires active
participation of all levels of
management and
supervision. This should be
reflected in the structure of
the organization and in
published safety
accountabilities.
Safety
Management
System
(SMS)
Safety
accountabilities
28
Safety Management Systems
Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.
Safety
Management
System
(SMS)
Safety
accountabilities
29
Safety Management Systems
30
SSP and SMS relationshipServices p
rovid
erState
Protection Production
State
Safety
Programme
(SSP)
Organization’s
Safety
Management
system (SMS)
Service
delivery
Objective:Safety riskmanagement
Objective:Safety riskmanagement
Objective:Support productiongoals andcustomer satisfaction
Safety assurance
�Acceptance�Complianceoversight
Performance-based
oversight
Copyright@2013 Civil Aviation Authority of Singapore
Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.
• ICAO safety management SARPS1
• State Safety Programme (SSP) 2
• Safety Management System (SMS)3
• Safety investigation4
31
Safety Management Systems regulations
32
1. State safety policy and objectives
1.1 State safety legislative framework
1.2 State safety responsibilities and accountabilities
1.3 Accident and incident investigation
1.4 Enforcement policy
2. State safety risk management2.1 Safety requirements for service providers SMS
2.2 Agreement on service providers safety performance
3. State safety assurance
3.1 Safety oversight
3.2 Safety data collection, analysis and exchange
3.3 Safety data driven targeting of oversight on areas of greater concern
or need
4. State safety promotion
4.1 Internal training, communication and dissemination of safety
information
4.2 External training, communication and dissemination of safety information Copyright@2013 Civil Aviation Authority of Singapore
State Safety Programme
SSP
Framework
33
1.3 – Accident and incident investigation
� The State has established an independent accident and incident investigation process, the sole objective
of which is the prevention of accidents and incidents,
and not the apportioning of blame or liability
State safety policy and objectives
34
1.3 – Accident and incident investigation
� Accident and incident investigation are in support of the
management of safety in the State
� In the operation of the SSP, the State maintains the
independence of the accident and incident investigation
organization from other State aviation organizations
1.
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Safety investigation
Component 1
Safety Policy and Objectives
• Element 1.3
•Accident and Incident Investigation Process
Component 3
Safety Assurance
• Element 3.2
•Safety data collection, analysis and exchange
Component 3
Safety Assurance
• Element 3.3
• Targeting of oversight of areas of greater concern
35