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Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved. Session 1 Safety Management and Safety Investigation SEMINAR ON AIRCRAFT ACCIDENT INCIDENT INVESTIGATION 11-15 AUGUST 2014

Session 1 - Safety Management & Safety Investigationclacsec.lima.icao.int/Reuniones/2014/Sem-CAAS/Presentaciones/Ingles...•A safety management system (SMS) shall clearly define lines

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Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.

Session 1

Safety Management and Safety Investigation

SEMINAR ON AIRCRAFT ACCIDENT INCIDENT INVESTIGATION

11-15 AUGUST 2014

Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.

• ICAO safety management SARPS1

• State Safety Programme (SSP) 2

• Safety Management System (SMS)3

• Safety investigation4

2

Safety Management Systems regulations

Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.

• ICAO safety management SARPS1

• State Safety Programme (SSP) 2

• Safety Management System (SMS)3

• Safety investigation4

3

Safety Management Systems regulations

Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.

States

State Safety Programme

Acceptable level of safety performance

(ALoSP)

Service providers

Safety Management

Systems

Safety performance of the SMS

4Copyright@2013 Civil Aviation Authority of Singapore

ICAO safety management SARPS

SSP• Components

SSP• Elements

SSP

• 4 Components

• 11 Elements

SMS• Components

SMS• Elements

SMS

• 4 Components

• 12 Elements

5Copyright@2013 Civil Aviation Authority of Singapore

ICAO safety management SARPS

SSP Components

1

• State safety policy and objectives

• State safety policy and objectives

2

• State safety risk management

• State safety risk management

3

• State safety assurance

• State safety assurance

4

• State safety promotion

• State safety promotion

SMS Components

1

• Safety policy and objectives

• Safety policy and objectives

2

• Safety risk management

• Safety risk management

3• Safety assurance• Safety assurance

4• Safety promotion• Safety promotion

6

ICAO safety management SARPS

7

1. State safety policy and objectives

1.1 State safety legislative framework

1.2 State safety responsibilities and accountabilities

1.3 Accident and incident investigation

1.4 Enforcement policy

2. State safety risk management2.1 Safety requirements for service providers SMS

2.2 Agreement on service providers safety performance

3. State safety assurance

3.1 Safety oversight

3.2 Safety data collection, analysis and exchange

3.3 Safety data driven targeting of oversight on areas of greater concern

or need

4. State safety promotion

4.1 Internal training, communication and dissemination of safety

information

4.2 External training, communication and dissemination of safety information Copyright@2013 Civil Aviation Authority of Singapore

ICAO safety management SARPS

SSP

Framework

8Copyright@2013 Civil Aviation Authority of Singapore

SMS Framework

ICAO safety management SARPS

Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.

• ICAO safety management SARPS1

• State Safety Programme (SSP) 2

• Safety Management System (SMS)3

• Safety investigation4

9

Safety Management Systems regulations

Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.

• States shall establish a State

Safety Programme (SSP), in

order to achieve an acceptable

level of safety performance

(ALoSP) in civil aviation.

State Safety

Programme

• An integrated set of

regulations and activities

aimed at improving safety.Definition

10

State Safety Programme

Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.

• The acceptable level of safety

performance (ALoSP) to be

achieved shall be established

by the State

State Safety

Programme

ALoSP

11

State Safety Programme

State sets ALoSP

Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.

• An SSP is a management

system for the regulation

and administration of safety

by the State.

State Safety

Programme

• State safety policy and objectives

• State safety risk management

• State safety assurance

• State Safety Promotion

ICAO SSP

framework

12

State Safety Programme

13

1. State safety policy and objectives

1.1 State safety legislative framework

1.2 State safety responsibilities and accountabilities

1.3 Accident and incident investigation

1.4 Enforcement policy

2. State safety risk management2.1 Safety requirements for service providers SMS

2.2 Agreement on service providers safety performance

3. State safety assurance

3.1 Safety oversight

3.2 Safety data collection, analysis and exchange

3.3 Safety data driven targeting of oversight on areas of greater concern

or need

4. State safety promotion

4.1 Internal training, communication and dissemination of safety

information

4.2 External training, communication and dissemination of safety information Copyright@2013 Civil Aviation Authority of Singapore

State Safety Programme

SSP

Framework

Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.

• Implementation of an SSP

must be commensurate with

the size and complexity of the

State’s aviation system

State Safety

Programme

14

State Safety Programme

Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.

• Implementation of an SSP may

require coordination among

multiples authorities

responsible for individual

element functions in the State

State Safety

Programme

15

State Safety Programme

Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.

• Ensure that a State has the

minimum required regulatory

framework in place.

• Ensure harmonization amongst the

State‘s regulatory and

administrative organizations in their

respective safety risk management

roles.

State

Safety

Programme

(SSP)

Objectives

16

State Safety Programme

Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.

• Facilitate monitoring and

measurement of the aggregate

safety performance of the State‘s

aviation industry.

• Coordinate and continuously

improve the State‘s safety

management functions.

• Support effective implementation

and interaction with service

providers‘ SMS.

State

Safety

Programme

(SSP)

Objectives

17

State Safety Programme

Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.

• ICAO safety management SARPS1

• State Safety Programme (SSP) 2

• Safety Management System (SMS)3

• Safety investigation4

18

Safety Management Systems regulations

Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.

• An SMS is a system to assure

the safe operation of aircraft

through effective

management of safety risk.

Safety

Management

System

(SMS)

• SMS is necessary for an aviation

organization to identify hazards

and manage safety risks

encountered during the delivery of

its products or services.

Purpose

19

Safety Management Systems

Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.

• A systematic approach

to managing safety,

including the necessary

organizational

structures,

accountabilities, policies

and procedures.

Safety

Management

System

(SMS)

Definition

20

Safety Management Systems

Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.

• Service providers are

responsible for

establishing a SMS

Safety

Management

System

(SMS)

• States are responsible,

under the SSP, for the

acceptance and oversight

of service providers’ SMS

State Safety

Programme

(SSP)

21

Safety Management Systems

Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.

State Safety

Programme

(SSP)

Safety

Management

System

(SMS)

22

Safety Management Systems

Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.

• States shall require, as part

of their State safety

programme (SSP), that a

[service provider] implement

a safety management

system (SMS) acceptable to

the State that, as a minimum:

Safety

Management

System

(SMS)

Objectives

23

Safety Management Systems

Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.

• identifies safety hazards;

• ensures the implementation of

remedial action necessary to

maintain agreed safety

performance

• provides for continuous

monitoring and regular

assessment of the safety

performance; and

• aims at a continuous

improvement of the overall

performance of the safety

management system

Safety

Management

System

(SMS)

Objectives

24

Safety Management Systems

Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.

Generic processes

Hazard identification

Remedial action

Continuous monitoring

Continuous improvement of SMS

Basic problem solving

activities

Finding out what is wrong

Proposing and implementing a fix

Making sure proposed fix works as intended

Constantly improving management systems

25

Safety Management Systems

Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.

Service providers that are required to

implement ICAO SARPs on SMS:

Approved training organizations that are exposed

to safety risks during the provision of their services

Aircraft operators

Approved maintenance organizations

Organizations that design and manufacture aircraft

Air traffic services providers

Certified aerodromes

26

Safety Management Systems

Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.

• A safety management system

(SMS) shall clearly define

lines of safety accountability

throughout a service

provider’s organization,

including a direct

accountability for safety on

the part of senior

management.

Safety

Management

System

(SMS)

Safety

accountabilities

27

Safety Management Systems

Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.

• Successful safety

management requires active

participation of all levels of

management and

supervision. This should be

reflected in the structure of

the organization and in

published safety

accountabilities.

Safety

Management

System

(SMS)

Safety

accountabilities

28

Safety Management Systems

Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.

Safety

Management

System

(SMS)

Safety

accountabilities

29

Safety Management Systems

30

SSP and SMS relationshipServices p

rovid

erState

Protection Production

State

Safety

Programme

(SSP)

Organization’s

Safety

Management

system (SMS)

Service

delivery

Objective:Safety riskmanagement

Objective:Safety riskmanagement

Objective:Support productiongoals andcustomer satisfaction

Safety assurance

�Acceptance�Complianceoversight

Performance-based

oversight

Copyright@2013 Civil Aviation Authority of Singapore

Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.

• ICAO safety management SARPS1

• State Safety Programme (SSP) 2

• Safety Management System (SMS)3

• Safety investigation4

31

Safety Management Systems regulations

32

1. State safety policy and objectives

1.1 State safety legislative framework

1.2 State safety responsibilities and accountabilities

1.3 Accident and incident investigation

1.4 Enforcement policy

2. State safety risk management2.1 Safety requirements for service providers SMS

2.2 Agreement on service providers safety performance

3. State safety assurance

3.1 Safety oversight

3.2 Safety data collection, analysis and exchange

3.3 Safety data driven targeting of oversight on areas of greater concern

or need

4. State safety promotion

4.1 Internal training, communication and dissemination of safety

information

4.2 External training, communication and dissemination of safety information Copyright@2013 Civil Aviation Authority of Singapore

State Safety Programme

SSP

Framework

33

1.3 – Accident and incident investigation

� The State has established an independent accident and incident investigation process, the sole objective

of which is the prevention of accidents and incidents,

and not the apportioning of blame or liability

State safety policy and objectives

34

1.3 – Accident and incident investigation

� Accident and incident investigation are in support of the

management of safety in the State

� In the operation of the SSP, the State maintains the

independence of the accident and incident investigation

organization from other State aviation organizations

1.

Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.

Safety investigation

Component 1

Safety Policy and Objectives

• Element 1.3

•Accident and Incident Investigation Process

Component 3

Safety Assurance

• Element 3.2

•Safety data collection, analysis and exchange

Component 3

Safety Assurance

• Element 3.3

• Targeting of oversight of areas of greater concern

35

Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.

36

Safety investigation

Copyright@2013 Civil Aviation Authority of Singapore. All rights reserved.

37

- End -

Session 1

Safety Management and Safety Investigation

SEMINAR ON AIRCRAFT ACCIDENT INCIDENT INVESTIGATION

11-15 AUGUST 2014