FDA Seminar Miami October FDA Within SMS. Capt Paul DUBOIS Manager SMS & FDA Assistance AIRBUS

Transcription

1 FDA Seminar Miami October 2016 FDA Within SMS Capt Paul DUBOIS Manager SMS & FDA Assistance AIRBUS

2 FDA Within SMS - SMS Reminder SAFETY MANAGEMENT SYSTEM Page 2

3 FDA Within SMS - SMS Reminder Technical Mechanical Improvements, Better Technology Human CRM, MRM, Human Performance Organizational SMS, Organizational Performance 1950s 1980s 2000s 2010s Page 3

4 FDA Within SMS - SMS Reminder ICAO defines SMS Standards in ANNEX 19 Safety Management

5 FDA Within SMS - SMS Reminder ICAO provides SMS guidance in the Safety Management Manual (SMM) Doc rd Edition

6 FDA Within SMS - SMS Reminder Management commitment and responsability Safety accountabilities Appointment of key safety personnel Coordination of emergency response planning SMS documentation Safety Policy & Objectives Page 6

7 FDA Within SMS - SMS Reminder Hazard Identification Safety Risk Assessment Mitigation Safety Policy & Objectives Safety Risk Managt Page 7

8 FDA Within SMS - SMS Reminder Safety Performance monitoring and measurement The management of change Continuous improvement of the SMS Safety Policy & Objectives Safety Risk Managt Safety Assurance Page 8

9 FDA Within SMS - SMS Reminder Training and Education Safety Communication Safety Policy & Objectives Safety Risk Managt Safety Assurance Safety Promotion Page 9

10 FDA Within SMS - SMS Framework Safety Policy & Objectives Safety Risk Managt Safety Assurance Safety Promotion Page 10

11 FDA Within SMS - Flight Data Analysis Programme ICAO Annex 6: Operation of Aircraft Chapter 3.3 Safety Management An operator of an aeroplane of a maximum certificated takeoff mass in excess of kg shall establish and maintain a Flight Data Analysis Programme as part of its SMS. Manual of Flight Data Analysis Programmes ICAO Doc / 1 st Ed 2014 Page 11

12 FDA Within SMS - Flight Data Analysis Programme «FDA, sometimes referred to as Flight Data Monitoring or Flight Operational Quality Assurance (FOQA), provides a systematic tool for the proactive identification of hazards». «an FDAP is an effective tool for the safety assurance component of air operators». Page 12

13 FDA Within SMS - Flight Data Analysis Programme «The Objective is to: To determine operating norms Identify potential and actual hazards in operating procedures, fleets, aerodromes, ATC procedures, etc Identify trends Monitor the corrective actions effectiveness Provide data to conduct cost-benefit analysis Optimize training procedures Provide actual performance measurement for risk management purpose». Page 13

14 FDA Within SMS - SMS Framework Safety Policy & Objectives Safety Risk Managt Safety Assurance Safety Promotion Page 14

15 FDA Within SMS - Safety Risk Management Safety Policy & Objectives Safety Risk Managt Safety Assurance Safety Promotion Page 15

16 FDA Within SMS - Safety Risk Management The objective of Safety Risk Management is to assess the risks associated with identified hazards and develop and implement effective and appropriate mitigations. ICAO (SMM 3 rd version) Page 16

17 FDA Within SMS - Safety Risk Management Safety The state in which the possibility of harm to persons or of property damage is reduced to, and maintained at or below, an acceptable level through a continuing process of hazards identification and safety risk management. ICAO (SMM 3 rd version) Page 17

18 FDA Within SMS - Safety Risk Management Hazard A condition or an object with the potential of causing: Injuries to personnel Damage to equipment or structures Loss of material, or Reduction of ability to perform a prescribed function. ICAO (SMM 3 rd version) Page 18

19 FDA Within SMS - Safety Risk Management Safety Risk Safety Risk is a product of the human mind intended to measure the seriousness of, or to put a number on, the consequences of hazards The predicted likelihood and severity of the consequences or outcomes from an existing hazard. ICAO (SMM 3 rd version) Page 19

20 FDA Within SMS - Safety Risk Management What is the Hazard? Traffic on the road to be crossed What is the Risk? To be hit by a car Page 20

21 FDA Within SMS - Safety Risk Management Risk Assessment Hazards Identification Risk Mitigation Airlines Operations Page 21

22 FDA Within SMS - Safety Risk Management Risk Assessment Hazards Identification Risk Mitigation Airlines Operations Page 22

23 FDA Within SMS - Safety Risk Management Hazards Identification? Activity where hazards are detected, using systematic processes and tools. How to Identify Hazards? By collecting and analysing data Page 23

24 FDA Within SMS - Safety Risk Management Reactive Method Accident reports Incident reports MOR Proactive Method Surveys Audits Volontary hazard reporting Flight Data Analysis Predictive Method Flight Data Analysis Direct Observation Systems ICAO (FDAP doc 10000) ICAO (SMM 3 rd version) Page 24

25 FDA Within SMS - Flight Data Analysis Programme FDA provides a systematic tool for the proactive & predictive identification of hazards Page 25

26 FDA Within SMS - Safety Risk Management Risk Assessment Hazards Identification Risk Mitigation Airlines Operations Page 26

27 FDA Within SMS - Safety Risk Management How to assess the risk? By assessing for each hazards The severity of the potential outcomes The probability that they will occur Page 27

28 FDA Within SMS - Safety Risk Management Assessing the Severity Page 28

29 FDA Within SMS - Safety Risk Management Assessing the Probability Page 29

30 FDA Within SMS - Safety Risk Management Probability X Severity = Safety Risk Index Page 30

31 FDA Within SMS - Safety Risk Management Safety Risk Index Tolerability Page 31

32 FDA Within SMS - Safety Risk Management Safety Risk Index Tolerability As Low As Reasonably Practicable Page 32

33 FDA Within SMS - Safety Risk Management Page 33 Risk Probability Risk Severity Catastrophic Hazardous Major Minor Negligible A B C D E Frequent 5 5A 5B 5C 5D 5E Occasionnal 4 4A 4B 4C 4D 4E Remote 3 3A 3B 3C 3D 3E Improbable 2 2A 2B 2C 2D 2E Extremely Improbable 1 1A 1B 1C 1D 1E

34 FDA Within SMS - Safety Risk Management Page 34 Risk Probability Risk Severity Catastrophic Hazardous Major Minor Negligible A B C D E Frequent 5 5A 5B 5C 5D 5E Occasionnal 4 4A 4B 4C 4D 4E Remote 3 3A 3B 3C 3D 3E Improbable 2 2A 2B 2C 2D 2E Extremely Improbable 1 1A 1B 1C 1D 1E

35 FDA Within SMS - Safety Risk Management What does FDA monitor? Deviation of more than certain predetermined values, called exceedances are flagged and evaluated Exceedance detection, such as deviations from flight manual limits or SOPs ICAO (FDAP doc 10000) Page 35

36 FDA Within SMS - Safety Risk Management EVENT programming is based on two basic attributes Magnitude and Duration GRADE OF EVENTS Exceedance value ,3 High Medium Low 1, Time Page 36

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38 FDA Within SMS - Safety Risk Management For the risk assessment we need To identify the risk associated with the long flare event Runway excursion To assess the severity of the potential outcome Aircraft damage / injury to personnel To assess the probability that it will occur Existing barriers? Risk Assessment requires Human analysis Page 38

39 FDA Within SMS - Safety Risk Management Safety Issue FDA helps at measuring Risk Exposure Page 39

40 FDA Within SMS - Safety Risk Management Risk Assessment Hazards Identification Risk Mitigation Airlines Operations Page 40

41 FDA Within SMS - Safety Risk Management Mitigation = Remedial Actions to maintain an acceptable level of Safety Prevention Protection Safety Action Group (SAG) Operational Managers Safety Review Board (SRB) Page 41

42 FDA Within SMS - Safety Risk Management «FDA involves promoting action to correct potential problems». «FDA team will propose and evaluate corrective actions, as well as produce exceedances aggregation over time to determine and monitor trends». ICAO (FDAP doc 10000) Page 42

43 FDA Within SMS - SMS Framework Safety Policy & Objectives Safety Risk Managt Safety Assurance Safety Promotion Page 43

44 FDA Within SMS - Safety Assurance Safety Assurance «as part of an operator s SMS safety assurance processes, an FDAP will have identified indicators or parameters chosen for measuring and monitoring the operator s safety performance». Page 44

45 FDA Within SMS - Safety Assurance Safety Performance Indicators Monitor known safety risk Detect emerging safety risks Identify need of any necessary corrective actions Provide objective evidence for the authorities To assess the effectiveness of the service providers SMS To monitor achievement of its safety objectives. Page 45

46 FDA Within SMS - Safety Indicators What kind of indicators? Page 46

47 FDA Within SMS - Safety Indicators Page 47

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50 FDA Within SMS - Safety Indicators Page 50

51 FDA Within SMS - Safety Indicators Page 51

52 FDA Within SMS - Safety Assurance Page 52

53 FDA Within SMS - Safety Assurance Page 53

54 FDA Within SMS - Safety Assurance Page 54

55 FDA Within SMS - Safety Indicators Review of Accident Precursors For Loss of Control In Flight EOFDM Working Group A Page 55

56 FDA Within SMS - Safety Indicators Non Operational Indicators: Flight Collection Rate Time from occurrence to detection FDM coverage of safety issues identified in the SMS Invalid events Missing events Etc Page 56

57 FDA Within SMS - Safety Indicators Page 57

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