Group Captain Alan Clements Director Defence Aviation Safety Director Air Force Safety
SCOPE History Future of Air Force Safety and Aviation Safety Current issues, concerns
DDAAFS MISSION Preservation of human and material resources in all activities through continuous improvement in safety management.
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
simply put.. Zero harm to our people Zero damage to our stuff.
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
Why do we bother?? Values Capability Public image Economics Legislation
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
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
How they fit together Organisational Axis (RAAFSafe) Units Geographical Axis (Base Safety) Activity Axis (eg Aviation Safety)
The ADF past..
Number of Fatalities Total number of ADF Aviation Fatalities by year 1985-2010 20 18 16 14 12 70 10 ADF 8 6 4 2 0 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 Years 1985-2009 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Total Hull Losses Orion Hornet PC9 Nomad Hull Losses 1985-2010 8 7 F111 Mirage Mirage Caribou F111 Sea King Macchi Iroquois Kiowa x 2 Macchi Hornet B707 Porter Tigermoth 6 5 4 3 2 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
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 1,000 500 0 34 2 34 3 35 2 35 1 40 2 74 0 32 0 2004 2005 2006 2007 2008 2009 2010 Year
Total Number of Accidents ADF Aviation Accident Statistics by Service 1985-2010 45 40 35 30 25 20 Navy Army RAAF 15 10 5 0 01Jan85-31Dec90 01Jan91-31Dec95 01Jan96-31Dec2000 01Jan2001-31Dec2005 01Jan2006-31Dec2010 Year Ranges
Total Number of Accidents ADF Aviation Accident Statistics by Service 1985-2010 45 40 35 30 WHY??? 25 20 Navy Army RAAF 15 10 5 0 01Jan85-31Dec90 01Jan91-31Dec95 01Jan96-31Dec2000 01Jan2001-31Dec2005 01Jan2006-31Dec2010 Year Ranges
Improvements in safety Safety Performance Engineering
Number of ADF Fatal Aviation Accidents 1985-2010 7 6 5 P3 Hornet Pilatus Porter PC-9 B707 Nomad Tiger Moth FLYSPVR AVRM, HF,CRM 4 3 2 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 0 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Improvements in safety Safety Performance Engineering Safety Management Systems
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
Improvements in safety Safety Performance Engineering Safety Management Systems Leadership & Culture
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.
Impacting culture STAFF MOTIVATION by Terry Tate Video Clip
+ 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
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
Courtesy Gerard M Bruggink, in Kai Talk, Cathay Pacific Safety magazine Your thoughts?
The awful sameness of major accidents... AWFUL SAMENESS by DR Tony Barrell Video Clip
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
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
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.
Organisational responsibility... TREADMILL Video Clip
Traditional concerns.
HIGH OPERATIONAL TEMPO + Organisational Tempo becoming the norm.
Loss of Corporate Knowledge
aging fleet. support issues
New capability
Points to ponder Individual accountability Human Factors Error management Fatigue Safety management system Vs systems that manage safety Stabilise the boxes!
Is an avoidable fatal accident just around the corner?
Questions