Fatigue Risk Management Systems Regional Meeting

Transcription

1 Fatigue Risk Management Systems Regional Meeting GOL FRMS Implementation May 27 May 28, 2015 Lima, Peru

2 Summary a step back Numbers & Demand What were we doing? Current Status Back to the Basics Lessons Learned Survey Next Steps Electronic Flight Bag TOD Survey AQD Mobile Fatigue Report Form

3 a step back

4 Numbers & Demand 1900ral Fatigue Analysis ral 1900ral 1900ral 1900ral 1900ral 1900ral 1900ral 1900ral 1900ral 1900ral 1900ral 1900ral 1900ral 1900ral 1900ral 1900ral 1900ral Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dez Total: ASR

5 Numbers & Demand Fatigue Analysis Result % 3% 13% Objective Fatigue Subjective Fatigue Nothing Identified Not Analyzed 70% Total: ASR

6 What were we doing? Safety reporting culture; FRMS Implementation; Policy and Documentation; Classroom and E learning.

7 What were we doing? Safety ReportingCulture ral ral 1907ral Others FRMS ral ral 1905ral 1905ral

8 What were we doing? FRMS Implementation TIMELINE PHASE I: Planning PHASE II: Implement Reactive PHASE III: Implement Proactive and Predictive FRMS PHASE IV: Implement FRMS Safety Assurance Process Gap Analysis Policy and Documentation CHAPTER THREE Identification of fatigue Hazards Risk Assessment Risk Mitigation strategies CHAPTER FOUR Identification of fatigue Hazards Risk Assessment Risk Mitigation strategies CHAPTER FOUR Monitoring of FRMS performance Managing Organizational & Operational changes Continuous improvement CHAPTER FIVE DEVELOP and IMPLEMENT FRMS DOCUMENTATION Chapter Three DEVELOP and IMPLEMENT FRMS COMMUNICATIONS Chapter Six DEVELOP and DELIVER FRMS TRAINING Chapter Six

9 What were we doing? FRMS Implementation TIMELINE PHASE I: Planning PHASE II: Implement Reactive PHASE III: Implement Proactive and Predictive FRMS PHASE IV: Implement FRMS Safety Assurance Process Gap Analysis Policy and Documentation CHAPTER THREE Identification of fatigue Hazards Risk Assessment Risk Mitigation strategies CHAPTER FOUR Identification of fatigue Hazards Risk Assessment Risk Mitigation strategies CHAPTER FOUR Monitoring of FRMS performance Managing Organizational & Operational changes Continuous improvement CHAPTER FIVE DEVELOP and IMPLEMENT FRMS DOCUMENTATION Chapter Three DEVELOP and IMPLEMENT FRMS COMMUNICATIONS Chapter Six DEVELOP and DELIVER FRMS TRAINING Chapter Six

10 What were we doing? Policy anddocumentation Policy Documentation Identifies FRMS elements Identifies FRMS operations Reflects Shared Responsibility States Safety objectives Declares management commitment Identifies lines of accountability Policy and objectives Processes and procedures Accountabilities, responsibilities and authorities Mechanism for involvement of all stakeholders FRMS training records Planned and actual times worked Outputs

11 What were we doing? Classroom and e Learning Subject dealt in class to all crewmembers and crew planners. Use our existing training structure: CRM Corporate Research Management TEM Threath and Error Management Periodical Training e Learning

12 What were we doing? Classroom and e Learning

13 Current Status

14 Back to the Basic FRMS & SMS; DOC 9966 FRMS Implementation Guide Fatigue Safety Action Group (FSAG); Bio mathematical Models.

15 Back to the Basic FRMS & SMS FRMS & SMS; DOC 9966 FRMS Implementation Guide

16 Back to the Basic FRMS & SMS SMS Framework FRMS 1. Safety policy and objectives 2. Safety risk management 3. Safety assurance 4. Safety promotion 1. Safety policy and objectives 2. FRM processes 3. FRMS safety assurance processes 4. FRMS promotion processes

17 Back to the Basic FSAG Lack of FSAG on 2014; Re started with the new year; All envolved areas invited: Safety Management; Schedule Management; Flight Operations; Flight Standarts; Medical Department.

18 Back to the Basic Bio mathematical Models Review the use of the Fatigue Avoidance Scheduling Tool (FAST); Request feedback from changes proposed; Identify which situations are not covered.

19 Lessons Learned As Low as Reasonable Possible (ALARP); Bio mathematical Models are not the FRMS; Develop Safety Performance Indicators (SPIs); Data collection is necessary.

20 Lessons Learned ALARP How much is it costing? Don t forget the M in FRMS; Make things more personal.

21 Lessons Learned Bio mathematical Models are not the FRMS Look to all the roster; Search for improvement possibilities. There will be critical operations; It s not a GO/No GO tool; It s not a shadow over the common sense.

22 Lessons Learned Bio mathematical Models are not the FRMS

23 Lessons Learned Develop SPIs Look to all the roster; We need to find our threshold; Total hours below the threshold; Pairing/Roster Comparisons ;

24 Lessons Learned Data collection is necessary. Review our database; Too much useless info; Too much unused info; Too much missed info; Expand our coverage area; Maintain the current reactive process; Field survey.

25 Survey

26 Survey Methodology Test; Demografic Data; Morningness eveningness questionnaire Epworth sleepiness scale Subjective Fatigue Forms; Samn Perelli Sleep LOG Objective Analysis; FAST & CFAS Comparison

27 Survey

28 Next Steps

29 Electronic Flight Bag TOD Survey Available in all flights; Pairing evaluation; Quick Response; Pairing Crew members Development in Company.

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31 AQD Mobile Fatigue Report Form Works in any smartphone/tablet; Off line (transfers info when conected); Get the information where it happens; Assure the quality of gathered data.

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33 Thank You! Safety Management