Group Captain Alan Clements. Director Defence Aviation Safety Director Air Force Safety

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1 Group Captain Alan Clements Director Defence Aviation Safety Director Air Force Safety

2 SCOPE History Future of Air Force Safety and Aviation Safety Current issues, concerns

3

4 DDAAFS MISSION Preservation of human and material resources in all activities through continuous improvement in safety management.

5 GOALS Achieve and maintain a sound aviation safety culture throughout the ADF Achieve and maintain a sound safety culture throughout the Air Force Achieve zero accidents and serious incidents attributable to human, systemic or organisational factors

6 simply put.. Zero harm to our people Zero damage to our stuff.

7 Why? Moral obligation Occupational Health and Safety (Commonwealth Employment) Act 1991 OH&S (National Standards) Regulations 1994 Australian Radiation Protection and Nuclear Safety Act 1998 Australian Radiation Protection and Nuclear Safety Regulations 1999 ICAO Chicago Convention 1947

8 Why do we bother?? Values Capability Public image Economics Legislation

9 12 RAAFSafe Elements 1. Leadership, Commitment and Resources 2. Hazard and Risk Management 3. Communication and Consultation 4. Training, Induction and Supervision 5. Design, Procurement, Acquisition and Divestment 6. Modification to Facilities and Equipment 7. Management of Contractors and Visitors 8. Systems of Work and Procedural Instructions 9. Emergency Preparedness 10. Treatment, Rehabilitation and Workers' Compensation 11. Performance Reporting and Incident Management 12. Inspection, Audits and Reviews

10 12 1 Genuine command commitment Elements of the ADF Aviation Safety Management System 2 A generative aviation safety culture 3 A defined safety organisation structure 4 Communication 5 Documented aviation safety policy 6 Training and education 7 Risk management 8 Hazard reporting and tracking 9 Investigation 10 Emergency response 11 Survey and audit 12 ASMS review

11 How they fit together Organisational Axis (RAAFSafe) Units Geographical Axis (Base Safety) Activity Axis (eg Aviation Safety)

12 The ADF past..

13 Number of Fatalities Total number of ADF Aviation Fatalities by year ADF Years

14 Total Hull Losses Orion Hornet PC9 Nomad Hull Losses F111 Mirage Mirage Caribou F111 Sea King Macchi Iroquois Kiowa x 2 Macchi Hornet B707 Porter Tigermoth Chinook Mirage x 2 Macchi Kiowa Winjeel x 2 Macchi x 2 Wessex x 2 Macchi Nomad Hornet Macchi x 2 PC9 Hornet Blackhawk Kiowa F111 Macchi x 2 Blackhawk x 2 Kiowa Sea King Squirrel Twin Otter 58 PC9 F111 Sea King Blackhawk 1 F111 Kiowa Squirrel Kiowa Blackhawk Caribou 0 Year

15 ADF ASOR Quantities 3,000 2,500 2,170 2,513 2,283 2,292 2,261 2,196 2,310 2,000 1,500 Incident Serious Incident Accident 1, Year

16 Total Number of Accidents ADF Aviation Accident Statistics by Service Navy Army RAAF Jan85-31Dec90 01Jan91-31Dec95 01Jan96-31Dec Jan Dec Jan Dec2010 Year Ranges

17 Total Number of Accidents ADF Aviation Accident Statistics by Service WHY??? Navy Army RAAF Jan85-31Dec90 01Jan91-31Dec95 01Jan96-31Dec Jan Dec Jan Dec2010 Year Ranges

18 Improvements in safety Safety Performance Engineering

19 Number of ADF Fatal Aviation Accidents P3 Hornet Pilatus Porter PC-9 B707 Nomad Tiger Moth FLYSPVR AVRM, HF,CRM Chinook Mirage Kiowa Mirage F-111 F-111 Kiowa Hornet 2 x Winjeel Macchi Nomad Hornet Blackhawk Hornet F-111 Iroquois Technical regulation Operational regulation 1 Sea Hawk Blackhawk F-111 Sea King Blackhawk

20 Improvements in safety Safety Performance Engineering Safety Management Systems

21 12 1 Genuine command commitment Elements of the ADF Aviation Safety Management System 2 A generative aviation safety culture 3 A defined safety organisation structure 4 Communication 5 Documented aviation safety policy 6 Training and education 7 Risk management 8 Hazard reporting and tracking 9 Investigation 10 Emergency response 11 Survey and audit 12 ASMS review

22 Improvements in safety Safety Performance Engineering Safety Management Systems Leadership & Culture

23 What is Culture? Values and practices that we share with others that help define us as a group - Ashleigh Merritt Who we think we are, what we believe in and what is important to us Safety Culture is defined as the product of individual and group values, attitudes, competencies and patterns of behaviour that determine the commitment to, and the style and proficiency of, an organisation s safety programs. (UK Institution of Occupational Safety and Health, 1994) The way we do things around here, when no one is looking.

24 Impacting culture STAFF MOTIVATION by Terry Tate Video Clip

25 + Organisational Openness and Communication - REACTIVE Safety is important when we have an accident CALCULATIVE We have systems in place to manage hazards PROACTIVE We work on the problems that we find GENERATIVE Safety is fully integrated into all operations + Organisational and Individual Trust PATHOLOGICAL Who cares as long as we re not caught - Prof Patrick Hudson

26 12 1 Genuine command commitment Elements of the ADF Aviation Safety Management System 2 A generative aviation safety culture 3 A defined safety organisation structure 4 Communication 5 Documented aviation safety policy 6 Training and education 7 Risk management 8 Hazard reporting and tracking 9 Investigation 10 Emergency response 11 Survey and audit 12 ASMS review

27 Courtesy Gerard M Bruggink, in Kai Talk, Cathay Pacific Safety magazine Your thoughts?

28 The awful sameness of major accidents... AWFUL SAMENESS by DR Tony Barrell Video Clip

29 It is still rare to find in aviation a fully integrated safety management system although many agencies are working towards that goal - including the ADF. Dr Rob Lee

30 To be effective, safety management systems must be INTEGRATED All the components of the SMS must be integrated with each other Also be integrated into the organisations management processes operational financial human resource

31 Genuine command commitment Training and education A generative safety culture A defined safety organisation structure Communication Organisational culture Survey and audit Risk management Documented aviation safety policy Hazard identification, reporting and tracking Investigation Emergency response ASMS review.

32 Organisational responsibility... TREADMILL Video Clip

33 Traditional concerns.

34 HIGH OPERATIONAL TEMPO + Organisational Tempo becoming the norm.

35 Loss of Corporate Knowledge

36 aging fleet. support issues

37 New capability

38 Points to ponder Individual accountability Human Factors Error management Fatigue Safety management system Vs systems that manage safety Stabilise the boxes!

39 Is an avoidable fatal accident just around the corner?

40 Questions

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