Past, present and … future! - anac.pt · FATIGUE RISK MANAGEMENT SYSTEM APR 2016 FRMS CAT...
Transcript of Past, present and … future! - anac.pt · FATIGUE RISK MANAGEMENT SYSTEM APR 2016 FRMS CAT...
SAFETY MANAGEMENT SYSTEM (SMS)
Past, present and … future!
COMMERCIAL AIR TRANSPORT (CAT) OPERATIONS
ANTÓNIO BARROS
SSP/SMS 18APRIL2017 2
OVERVIEW:
•OBJECTIVES
•BACKGROUND
•MOTIVATION
•SSP & SMS CONCEPTS (TAXONOMY) & INTERACTION
•METHODOLOGY
•CAT OPERATORS SMS OVERSIGHT (2014-2017…2018!)
•SAFETY PERFORMANCE
•ROADMAP/CONCLUSIONS
SSP/SMS 18APRIL2017 4
1 PLANNING & ORGANIZATION
CONTINUOUS
IMPROVEMENT5
4 PREDICTIVE
PROCESSES
Normal operations monitoring/intelligence
3 PROACTIVE
PROCESSES
Safety audits + inspections + surveys
REACTIVE
PROCESSES2 Always present!
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17 12 11 22 18 22 19 11 9 8 6 6
4,4
4,14,2
4,7
4,1
4,3
4,1
3,2
2,93,0
2,8 2,7
0
1
2
3
4
5
0
6
12
18
24
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
AC
CID
ENTS R
ATEFA
TAL
AC
CID
ENTS
FATAL ACCIDS - 161
ACCIDS RATE - 3,70
Linear (FATAL ACCIDS - 161)
824 806 523 695 768 424 386 173 911645 474 179
FATALITIES – 6.808
SOURCE: ICAO ISTARS 30MAR17
CAT FATAL ACCIDENTS (MTOM > 5.700 KG)
SSP/SMS 18APRIL2017 7
This chart shows the each region's Accident Rate with respect to their LEI %. For theaccident rate, only commercial scheduled flights were taken into account, includingpassenger and cargo flights. Accidents are as defined by Annex 13, including fatal and non-fatal accidents.
ACRONYM ICAO AVIATION SAFETY GROUP REGIONS
EURNAT EUROPEAN AND NORTH ATLANTIC
SAM SOUTH AMERICA
MID MIDDLE EAST
NACC NORTH AMERICAN, CENTRAL AND CARIBBEAN
APAC ASIA AND PACIFIC
ESAF EASTERN AND SOUTH
WACAF WESTERN AND CENTRAL AFRICAN
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JUNE 2016 2014 2034
PAX 3,3 billion 6,9 billion
PKP 6,2 trillion 12,8 trillion
JET AIRCRAFT 21.633 43.560
JOBS 62,7 million 88,1 million
ECONOMIC IMPACT $ 2,7 trillion $ 5,9 trillion
(W)GDP 3,5% (2015) 3,4%
Long scale (EU) – trillion equivalent 1018(W)GDP – World Gross Domestic Product
A GROWTH INDUSTRY
AN ASSESSMENT OF THE NEXT 20 YEARS OF AVIATION
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PAST
PRESENT
FUTUREAIRCRAFT (LESS) SEPARATION
FOR SAME AIR SPACE:
• VERTICAL
• HORIZONTAL
NEW REQUIREMENTS (MORE PRECISION):
• REGULATIONS;
• NAVIGATION, COMMUNICATION, SURVEILLANCE
EQUIPMENT;
• INTEGRATED COCKPIT DISPLAY SYSTEM (ICDS);
• TRAINING;
• DECISION AUTOMATION ETC.
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SAFETY
+
RegulatoryOversight
InfrastructuresATM
State+
RegulatoryCompliance
& SafetyManagement
+
OperatingEnvironment+
Airline+
Operation+Aircraft=
SSP/SMS… A HELL OF SHARED CHALLENGE!
Manufacturer+
DesignManufacturing
OperationsMaintenance
+
SSP/SMS 18APRIL2017 13
8.a.4. the operator must implement and maintain a management system to ensure compliance with these
essential requirements for operations and aim for continuous improvement of this system; and
SMS (ICAO) VS. SAFETY MANAGEMENT (EASA)
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ANAC SMS HISTORICAL BACKGROUND 2014 – 2017…
• 2014 – Internal organization + SMS Manuals (SMM) evaluation and approval
• 2015 – Continuing SMM evaluation and starting SMS implementation
• 2016 – Continuing implementation and starting performance measurement
• 2017… onwards – Continuously revision, control and improvement!
0
6
12
18
24
30
2014 2015 2016 2017
26
17 17 3
ANAC SMS AUDITS PERFORMED 2014 - 2017 (CAT OPERATORS)
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ANAC WORKSHOPS AND SMS PROMOTION
WORKSHOP DATE SUBJECT TARGET PUBLIC INTERVENIENT
ANNEX 19 JAN 2014 SMSAir and Ground
Operators
INAC + NetJets Europe + ANA
Aeroportos + TAP Portugal +
PGA Portugalia Airlines
SMS (REG. 965/2012 +
ICAO ANNEX 19)JUN 2014 SMS Initialization/Set up CAT Operators INAC
SAFETY REQUIREMENTS MAY 2015 Accident Prevention GA INAC + GPIAA + APAU
SMS + SPI + EASP JUL 2015 SMS Implementation CAT Operators INAC
FATIGUE RISK MANAGEMENT
SYSTEMAPR 2016 FRMS CAT Operators
ANAC + CENC (Centro de EEG e
Neurofisiologia Clínica)
SPECIALIZED OPERATIONS –
PART-SPOJAN 2017 SMS Promotion vs. SPO AW Operators (SPO) ANAC/DSO/OPS
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CLASS OPERATORS NUMBER
“BIG” OPERATORS 11
EXECUTIVE OPERATORS 11
HELICOPTERS 6
SMS – NATIONAL CAT OPERATORS
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WEAKNESSES –
Lack of historical statistics and poor safety culture (occurrence reporting)
Uncertainty on hazards identification and associated risk assessment/management
Deficient establishment of “Targets” + “Alerts” + “SPI’s”
Ineffective internal safety investigation (Safety Recommendations implementation)
Different taxonomy (common language) between OM (A) and SMM
Absence of ERP drills
Inconsistent implementation of international standards
General unfamiliarity with ICAO (Chicago Convention) regulations/provisions
Duplication of SMM used by different CAT operators
Lack or insufficiency of (qualified) human resources
SM in part-time or shared –time.
OVERSIGHT RESULTS 2014 – 2017…
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STRENGTHS
Positive and constructive response from Operators
Fast SMS development
Good reception and acceptance, although being a pioneer action
SMS findings corrected and/or updated in due time
SMS auditing's are a real assets for SSP creation and implementation
OVERSIGHT RESULTS 2014 – 2017…
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LESSONS LEARNED 2014 – 2017…
LESSONS LEARNED
Face to face meetings allow to build confidence and facilitate exchange of
good practice amongst operators;
Knowing the concerns of operators is important to find proper solutions;
Operators welcome flexibility to find their own way of tracking risks;
More efficient interface with regulatory authorities;
Operators risk assessments of SMS’s are helpful to clarify the role of the
authorities in SSP implementation;
Need to establish a safety “ranking” regarding to CAT Operators.
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SAFETY PERFORMANCE INDICATORS
SAFETY PERFORMANCE MONITORING AND MEASUREMENT:A key function of the SMS is assurance that the system is working and is effective! This involves:The setting and monitoring of SAFETY PERFORMANCE INDICATORS (SPIs) to
measure the organization's safety performance.
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SAFETY POLICY AND OBJECTIVES
• Setting targets and alerts
RISK MANAGEMENT
• Hazard register offers a glimpse into the most salient or top hazards• Trending analyses and projection to next year/short term
SAFETY ASSURANCE
• Perform monitoring – stay abreast of major issues affecting the SMS performance• Predictive analyses – play a significant role
SAFETY PROMOTION
• Use them to communicate risk to airline stakeholders
AVIATION SAFETY MANAGEMENT SYSTEMS REVOLVE AROUND THE FOUR ICAO PILLARS:
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CONCLUSION: • Safety KEY PERSONNEL spend so much time collecting and classifying data,
but….
…THEY FAIL TO CAPITALIZE ON THE BENEFITS!
SAFETY PERFORMANCE INDICATORS
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CRITERIA:MORE THAN 1.000 FLIGHTS PER YEAR
MTOM OVER 5.700 KG
NATIONAL CAT OPERATORS SURVEY
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0,91%
0,43%
2,23%
0,32%
0,92%
0,74%0,64%
0,53%
0,76%
0,61%
2,27%
0,0%
0,5%
1,0%
1,5%
2,0%
2,5%
1 2 3 4 5 6 7 8 9 10 11
RATIO + AVERAGE + WEIGHTED AVE. (%)
AVE. – 0,94%
WAVE. – 0,72%
BASIC SPI – OCCURRENCE REPORTS
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SAFETY ROADMAP
• ACTION PLAN FOR PROACTIVE FUTURE FOR NATIONAL AVIATION SAFETY
• REDUCTION OF THE NATIONAL ACCIDENT RISKS IN AVIATION
• REQUIRES ACCEPTANCE AND COMMITMENT OF REGULATOR AND INDUSTRY TO BE EFFECTIVE
• SMM & ERPM LIVING DOCUMENTS, SUBJECT TO PERIODIC REVIEW AND REVISION
• SAFETY MANAGEMENT & SAFETY ASSURANCE – HAZARDS + RISKS + SPI’S+ TARGETS + ALERTS
• ESTABLISHMENT OF CAT OPERATORS SAFETY RANKING
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WHAT WE WILL GONNA CHECK IN NEAR TERM
SMS REQUIREMENTS:
STATES SHALL REQUIRE, AS PART OF THEIR STATE SAFETY PROGRAMME (SSP),
THAT A SERVICE PROVIDER IMPLEMENTS A SAFETY MANAGEMENT SYSTEM (SMS)
ACCEPTABLE TO THE STATE THAT, AS A MINIMUM:
a) IDENTIFIES SAFETY HAZARDS;
b) ENSURES THAT REMEDIAL ACTION (CAP) NECESSARY TO MAINTAIN SAFETY
PERFORMANCE IS IMPLEMENTED;
c) PROVIDES FOR CONTINUOUS MONITORING AND REGULAR ASSESSMENT OF THE
SAFETY PERFORMANCE; AND
d) AIMS AT A CONTINUOUS IMPROVEMENT OF THE OVERALL PERFORMANCE OF
THE SAFETY MANAGEMENT SYSTEM.