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

Elements of the ADF Aviation Safety

Management System 12

1 Genuine command commitment

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)

Activity Axis (eg Aviation Safety)

Geographical Axis (Base Safety)

Units

The ADF past…………..

Total number of ADF Aviation Fatalities by year 1985 - 2010

0

2

4

6

8

10

12

14

16

18

20

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

Years 1985-2009

Nu

mb

er

of

Fata

liti

es

ADF

70

0

1

2

3

4

5

6

7

8

To

tal H

ull

Lo

ss

es

Year

Hull Losses 1985-2010

Chinook

Mirage x 2

Macchi

Kiowa

F111

Mirage

Caribou

Sea King

Iroquois

Macchi

Mirage

F111

Macchi

Kiowa x 2

Hornet

Winjeel x 2

Macchi x 2

Wessex x 2

Macchi

Nomad

Hornet

Macchi x 2

Orion

Hornet

PC9

Nomad

B707

Porter

Tigermoth

PC9

Hornet

Blackhawk

Kiowa

F111

PC9

Sea King

F111

Blackhawk

Macchi x 2

Kiowa

Sea King

Blackhawk x 2

F111 Squirrel Kiowa Kiowa Blackhawk

Squirrel

Twin Otter

Caribou

58

ADF ASOR Quantities

2,170

2,513

2,283 2,292 2,2612,196

2,310

34 34 35 35 40 74322 3 2 1 2 0 0

0

500

1,000

1,500

2,000

2,500

3,000

2004 2005 2006 2007 2008 2009 2010

Year

Incident

Serious Incident

Accident

ADF Aviation Accident Statistics by Service 1985 - 2010

0

5

10

15

20

25

30

35

40

45

01Jan85 - 31Dec90 01Jan91 - 31Dec95 01Jan96 - 31Dec2000 01Jan2001 - 31Dec2005 01Jan2006 - 31Dec2010

Year Ranges

To

tal N

um

ber

of

Accid

en

ts

Navy

Army

RAAF

ADF Aviation Accident Statistics by Service 1985 - 2010

0

5

10

15

20

25

30

35

40

45

01Jan85 - 31Dec90 01Jan91 - 31Dec95 01Jan96 - 31Dec2000 01Jan2001 - 31Dec2005 01Jan2006 - 31Dec2010

Year Ranges

To

tal N

um

ber

of

Accid

en

ts

Navy

Army

RAAF

WHY ???

Improvements in safety

Safety

Performance

Engineering

Number of ADF Fatal Aviation Accidents 1985 - 2010

0

1

2

3

4

5

6

7

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

Chinook

Mirage

Kiowa

Mirage

F-111

F-111

Kiowa

Hornet

2 x Winjeel

Macchi

Nomad

Hornet

P3

Hornet

Pilatus Porter

PC-9

B707

Nomad

Tiger Moth

Blackhawk

Hornet F-111

Iroquois

Sea Hawk

Blackhawk

F-111 Sea King Blackhawk

FLYSPVR

AVRM, HF,CRM

Technical regulation

Operational regulation

Improvements in safety

Safety

Performance

Safety

Management

Systems

Engineering

Elements of the

ADF Aviation Safety

Management

System 12 1 Genuine command commitment

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

Safety

Management

Systems

Engineering

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”

PATHOLOGICAL

Who cares as long as

we’re not caught

Organisational

and Individual

Trust

Organisational

Openness and

Communication

-

REACTIVE

Safety is important when

we have an accident

PROACTIVE

We work on the problems

that we find

CALCULATIVE

We have systems in place

to manage hazards

GENERATIVE

Safety is fully integrated

into all operations

+

-

+

Prof Patrick Hudson

Elements of the

ADF Aviation Safety

Management

System 12 1 Genuine command commitment

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

A generative safety culture

A defined safety organisation structure

Communication

Documented aviation safety policy

Training and education

Survey and audit

Risk management

Hazard identification, reporting and tracking

Investigation

Emergency response ASMS review.

Organisational culture

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…

• Individual accountability

• Human Factors

• Error management

• Fatigue

• Safety management system Vs systems

that manage safety

• Stabilise the boxes!

Points to ponder…

Is an avoidable fatal accident just around the corner?

Questions