SMS in a Flight Training Context

Selection

Ab-initio

training

(NZ & USA)

Bridge

training

(Advanced

training)

Type rating

training

(TRTO)

Recurrent

& refresher

training

(TRTO)

Command

training

(Advanced

training)

Training

Captain

courses

(Advanced

training)

CTC Aviation an organisation with a global safety footprint

Extensive global resources delivering airline

focussed training

Continuous development of a highly capable

and proactive Safety Management System

A strong safety culture across the organisation

International Regulatory Approvals Maintained

New Zealand CAA

Hong Kong CAD

European EASA (40+ countries)

Singapore CAAS

Qatar CAA

Brunei CAA

India DGCA

Vietnam CAA

Oman DGAC

Russia CAA

British Airways

Jetstar

Monarch

Ryan Air

Easy Jet

Qatar Airways

Virgin Atlantic

Organizational Safety Chart

Managing Director

Risk Manager

Airworthiness Controller

Various Senior & Line

Managers

CATNZ Board of Directors

Risk Review Board

Risk Action Group

Quality Services

Office

Safety Services

Office

Voluntary Employee

Reps

Where we came from - QSM

• History – Quality Safety Management

• AQD Superstructure, movement away from paper based

management

• Measure of effectiveness through audit and safety KPI’s

• QSM not inherent risk based system

• QSM Satisfied minimum regulatory requirements

• Captured data with primary analysis – Reactive

• Root causes often unclear

• Safety Promotion often reactive

• Findings being silo’ed12/01 12/02

12/0312/04

Accident / Incident

Airspace Incident

Weather Occ.

0

2

4

6

8

10

12

14

16

Occurrence Numbers by Event Descriptors (Descriptor level)

Criteria: Occurrence Date From 1/01/2012 to 27/04/2012; Selected Event Descriptors;

Integration of a Safety Management System

• Why a move towards SMS?

• Enhanced Safety – analysis and emphasis

• Evidence based safety promotion

• Procedures/review of SOPs

• Productivity enhanced

• Risk based approach – through audit and Safety Performance Indicators

• Aligns with our Training Philosophy

Training Resourcing Innovation Partnership

• How was this achieved?

• Culture, Risk assessed; TEM; Collaboration and Measured results

Challenges in an ab initio flight training context

• What makes the ab-initio flight training environment unique?

• Types of occurrence;

• Operating environment;

• Language, including aviation standard phraseology (Example Professional Phraseology Campaign – CTC & Airways)

• Data Analysis

• Streamline use of AQD, primarily an airline focused tool

• Improved data and route cause analysis

• Threat identification and error management focus, human behavior

SMS action plan

Promotion of proactive reporting, reactive reporting

becomes the norm.

Accurate categorisation through investigation

Data analysis that enables

root cause analysis and

proactive response

Risk

identification

Event & phase

categorisation

Change

management/

safety promotion

Data analysis - Example

A closer look at the data - Example

Data analysis - Example

Data analysis - Example

Example of data analysis

Communication error

Intentional non-compliance

Operational decision error

Procedural error

Proficiency error

Aircraft 20%

Airport 1%

ATC 16%

Complacency

7%Ground 2%

Maintenance

1%

Operational pressure

2%

Pilot/Crew 10%Terrain

2%

Traffic 32%

UAS 1%

Weather 6%

Measured effectiveness

-0.5

0

0.5

1

1.5

2

2.5

3

3.5

4

4.5

0

2

4

6

8

10

12

14

16

Safety Brief –

Arrivals &

Departures

Safety Focus

– “SIMPLE

METHODS TO

AVOID AIRSPACE

BUSTS”

Integrating

Non-tech teach

guidance for

FIs

Safety Focus –

Airspace

management

Safety Brief

targeted &

reinforced

delivery

Safety Action Group - A Proactive Approach

• Safety data and investigation findings are

collated and presented to the SAG.

• Team Managers are able to respond to

their respective areas.

• Recommendations are considered by the

SAG

• Supports Evidence Based Training.

Initiatives and outcomes from the SAG

• Introduction of a Duty Instructor at Hamilton and Matamata (Sign-Out procedures and flight

monitoring)

• New Tracking Device currently in test mode

• Standard Operating Procedures

• Traffic Advisory System (Progressive Installation)

– In response to an increase in occurrence

– Recognized the need for additional support systems

– Phoenix Training Centre

Communications Framework

Safety Review Board

Safety Action Group

Occurrence Bulletins

Safety Focus

Group Safety Magazine

Safety Notice

Monthly Safety

Update

Incident Command

Immediate Response

NOTOC ISSUE

Current Developments

• Education/Training materials – Embedding Threat and Error Management

• Challenges of Standardisation globally - Alignment

• Development of Standard Operations Procedure publications

• Promoting SMS amongst the CTC Aviation group and wider Stakeholder community

Through engagement and collaboration

• Safety Culture Promotion

Process of continuous improvement…

Summary

• Pro-active reporting culture

• Enhanced data analysis and risk based approach

• Measured effectiveness of interventions

• Partnership

• Recognition that the work never stops

• Movement from QMS to SMS enhanced overall safety and safety awareness