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SISTEM MANAJEMEN KESELAMATAN SAFETY MANAGEMENT SYSTEMS FOR DGCA AERODROME & AIR NAVIGATION SAG MEMBERS

Updated - Safety Management Systems - Workshop - DGCA SAG Members - As Presented

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The slides I used for a workshop on safety management concepts for members of the Indonesian DGCA's State Safety Program Safety Action Groups - specifically the Directorates of Airports and Air Navigation members.

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Page 1: Updated - Safety Management Systems - Workshop - DGCA SAG Members - As Presented

SISTEM MANAJEMEN KESELAMATAN

SAFETY MANAGEMENT SYSTEMSFOR DGCA AERODROME & AIR NAVIGATION SAG

MEMBERS

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OBJECTIVE

To enhance the SMS knowledge of the DGCA’s Safety Action Group

Members from the Directorates of Airports & Air Navigation.

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FACILITATORS

DAN PARSONSAerodrome InspectorCivil Aviation Safety Authority

+61 7 3144 7362

[email protected]

TIM ABBERTONResearch Consultant Airservices Australia

+61 2 6268 5724

[email protected]

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TRANSLATIONS PROVIDED BY

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PROGRAM

Monday TuesdayWednesda

yThursday Friday

Theory & Case Studies(together)

Public Holiday Practical

Exercises (in functional groups &

together)

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THEORY & CASE STUDIES

Presentations on various requested topicsSelected topics enhanced by group discussion of case studies

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PRACTICAL EXERCISE

Group exercises based on single scenarioInvolves planning, implementation and audit of safety management systems

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CONDUCT

Participants are encouraged to ask questions and discuss issues at any time on any subject

Although facilitators may steer the discussion back if we get too far off topic

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SISTEM MANAJEMEN

KESELAMATAN

OVERVIEW

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WHAT IS IT ABOUT?

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KESELAMATAN

Safety

The state in which the possibility of harm … is reduced to, and maintained at or below, an acceptable level…

ICAO SMM

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BUT WHAT IS IT REALLY

ABOUT?

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PENDEKATAN SISTEMATIK

Systematic Approach

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A system is an organised & highly integrated collection of parts that accomplish an overall goal

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AKUNTABILITAS MANAJEMEN

Management Accountability

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MENJEMBATANI KESENJANGAN

Bridging the Gap

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HISTORY

Disasters Quality Management

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Annex 11 – Air Traffic ServicesAnnex 14 – Aerodromes

ICAO

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SMS COMPONENTS

KEBIJAKAN DAN SASARAN KESELAMATANSAFETY POLICY AND OBJECTIVES

MANAJEMEN RESIKO KESELAMATANSAFETY RISK MANAGEMENT

JAMINAN KESELAMATANSAFETY ASSURANCE

PROMOSI KESELAMATANSAFETY PROMOTION

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KEBIJAKAN DAN SASARAN KESELAMATAN

MANAJEMEN KOMITMEN & TANGGUNG JAWABMANAGEMENT COMMITMENT & RESPONSIBILITY

KESELAMATAN AKUNTABILITASSAFETY ACCOUNTABILITIES

PENUNJUKAN TENAGA KESELAMATAN KUNCIAPPOINTMENT OF KEY SAFETY PERSONNELKOORDINASI PERENCANAAN TANGGAP

DARURATCOORDINATION OF EMERGENCY RESPONSE

PLANNINGSMK DOKUMENTASISMS DOCUMENTATION

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MANAJEMEN RESIKO KESELAMATAN

IDENTIFIKASI BAHAYAHAZARD IDENTIFICATION

PENILAIAN & MITIGASI RISIKO KESELAMATAN

SAFETY RISK ASSESSMENT & MITIGATION

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JAMINAN KESELAMATAN

KINERJA KESELAMATAN PEMANTAUAN & PENGUKURANSAFETY PERFORMANCE MONITORING & MEASUREMENT

PERUBAHAN MANAJEMENTHE MANAGEMENT OF CHANGE

PERBAIKAN TERUS MENERUSCONTINUOUS IMPROVEMENT OF THE SMS

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PROMOSI KESELAMATAN

PELATIHAN & PENDIDIKANTRAINING & EDUCATION

KESELAMATAN KOMUNIKASISAFETY COMMUNICATION

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PERTANYAAN?

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SPECIAL TOPICS

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TUJUAN KESELAMATAN

SAFETY OBJECTIVES

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PERINGATAN

Warning

The following discussion is confusing even for native-English speakers…… at least it is to me!

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ACCEPTABLE LEVEL OF SAFETY

The minimum degree of safety that must be assured by a system in actual practice

ICAO SMM

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DEFINITIONS

Safety Measurement

Measurement of high-consequence events & high-level functions

Safety Performance Measurement

Measurement of low-consequence events & low-level

functions

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MORE DEFINITIONS

Indicator – the aspect of safety being measured

Target – the objective of our safety actions

Value – the actual number assigned to the above

Paraphrased from ICAO SMM

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ONE MORE DEFINITION

Goal – the expression of a safety indicator with a specific target value

ICAO tends to express safety indicators and targets separately each with their own values.

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EXAMPLE – SAFETY GOAL

Maximum of 10 breakdowns of separation per 100,000 flight

hours

Grey = Indicator, Red = Target, Blue = Value

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INITIAL ALoS

OutcomeMaximum of 5 runway excursions at certified aerodromes

FunctionMinimum of 85% of

aerodrome operator safety audits

completed within 12 months of certification

Selected goals relating to safety measurement

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WHY STAGED?

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MATURE ALoS

OutcomeMaximum of 25 Cat B

& C runway incursions

Selected goals relating to safety measurement plus

Selected goals relating to safety performance measurement

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INFLUENCES

International

Political

Social

Economic

Historical

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WHAT IS EVERYONE

ELSEDOING?

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UNITED STATES

?

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The UK CAA has established a range of performance

indicators for monitoring safety performance…to

ensure that the frequency of fatal (an, in some cases,

reportable) accidents does not increase in line with

forecast growthCAP 784 – UK SSP

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Australia collects a range of aviation activity and safety information to assess safety

performance and trends, and to highlight areas of emerging risk. A key policy

objective for Australia is the maintenance of positive trends in safety performance across

the aviation sectors.

Australia’s State Aviation Safety Program

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MAGIC NUMBERS

10-7

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Although ICAO provides much guidance on the concept of an ALoS, there are still some doubts as to what constitutes an ALoS and how states should establish one.

CAP 784 – UK SSP

FINAL WORD

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MORE INFORMATION

ICAO Safety Management Manual

UK SSP & Associated Web Pages

Australia’s State Safety Program

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DISKUSI

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PERTANYAAN?

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PERAN, & TANGGUNG JAWAB &KEPEMIMPINAN

LEADERSHIP, ROLES & RESPONSIBILITIES

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AKUNTABILITAS MANAJEMEN

Management Accountability

AKUNTABILITAS -v- TANGGUNG JAWABAccountability -v- Responsibility

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WHY IMPORTANT?

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STRUKTUR PENDUKUNG

Supporting Structure

Accountable ExecutiveOrganisational StructureDelegation of Responsibilities

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AKUNTABEL EKSEKUTIF

Accountable Executive

Full authority for human resources issuesAuthority for major financial issuesDirect responsibility for the conduct of the organisation’s affairsFinal authority over operations under certificateFinal accountability for all safety issues

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STRUKTUR ORGANISASI

Organisational Structure

Who does what? Who talks to whom?

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ICAO’S SUGGESTION

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AIRSERVICES

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MAJOR AIRPORT

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DELEGASI TANGGUNG JAWAB

Delegation of Responsibilities

DocumentationAwarenessInline with Authority

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BUT WAIT THERE’S MORE…

LEADERSHIP GREATLY AFFECTS

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BUDAYACULTURE

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LEVELS OF CULTURE

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BAD CULTURE / GOOD CULTURE

Pathological Bureaucratic Generative

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PENGARUH

Influence

The Accountable Executive greatly influences the organisational level of culture

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DISKUSI

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PERTANYAAN?

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MANAJEMEN RESIKO KESELAMATAN

SAFETY RISK MANAGEMENT

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BAGIAN BERPIKIR

The Thinking Part

This is where safety management does all of its thinking

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STRATEGISStrategic

OPERASIONAL Operational

TAKTISTactical

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KETIKA?

When?

Implementation of SMSAccidents/Incidents Hazard ReportsInternal Audits External AuditsChange System Evaluation

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FRAMEWORKS

ICAO SMS ISO 31000:2009

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ICAO

Hazard Identification

Risk Assessment & Mitigation

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ISO 31000:2009

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KONSULTASIConsultation

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KONTEKS

Context

ISO 31000 is industry & application neutral

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PENILAIAN RESIKO

Risk Assessment

“Risk assessment has always been the most challenging part of the risk management process for aviation operations.”

ARMS

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IDENTIFIKASI RISIKORisk Identification

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ANALISIS RISIKORisk Analysis

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ALAT-ALAT Tools

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Risk Evaluation EVALUASI RISIKO

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PERLAKUAN TERHADAP RISIKO

Risk Treatment

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MONITORING

JAMINAN KESELAMATANSafety Assurance

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DISKUSI

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PERTANYAAN?

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SISTEM MANAJEMEN KESELAMATAN

PRACTICAL EXERCISE

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OBJECTIVE

To perform the tasks of a safety action group tasked with

reviewing low visibility operating procedures and standards

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NTSC PRELIMINARY REPORT

a. The National Transportation Safety Committee Director General of Civil Aviation recommend the review the procedures and requirements for usage of airport facilities such as runway lighting, especially during limited visibility, designed to improve safety of the flight.

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BAGAIMANA?How?

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OUTCOMES

Safety Action Plan Safety Objectives

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BASED ON

Risk Assessment

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FRAMEWORK

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KONSULTASIConsultation

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KONTEKS

Context

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PENILAIAN RESIKO

Risk Assessment

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IDENTIFIKASI RISIKORisk Identification

Risk identification involves the identification of risk sources, events, their

causes and theirpotential consequences

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ANALISIS RISIKORisk Analysis

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Risk Evaluation EVALUASI RISIKO

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PERLAKUAN TERHADAP RISIKO

Risk Treatment

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MONITORING

TUJUAN KESELAMATANSafety Objectives

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SISTEM MANAJEMEN KESELAMATAN

CONCLUSION

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WORKSHOP TITLE

Determining, measuring and agreeing to Safety Performance

Indicators for ATS Providers & Aerodrome Operators

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ACCEPTABLE LEVEL OF SAFETY

The minimum degree of safety that must be assured by a system in actual practice

ICAO SMM

Page 103: Updated - Safety Management Systems - Workshop - DGCA SAG Members - As Presented

DEFINITIONS

Safety Measurement

Measurement of high-consequence events & high-level functions

Safety Performance Measurement

Measurement of low-consequence events & low-level

functions

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EXAMPLE – SAFETY GOAL

Maximum of 10 breakdowns of separation per 100,000 flight

hours

Grey = Indicator, Red = Target, Blue = Value

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WHAT CAN WE MEASURE?

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INFLUENCES

International

Political

Social

Economic

Historical

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BUDAYACULTURE

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LEVELS OF CULTURE

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ALATTool

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MANAJEMEN RESIKO KESELAMATAN

SAFETY RISK MANAGEMENT

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BAGIAN BERPIKIR

The Thinking Part

This is where safety management does all of its thinking

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ISO 31000:2009

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KESEPAKATANAgreement

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PERTANYAAN?

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Although ICAO provides much guidance on the concept of an ALoS, there are still some doubts as to what constitutes an ALoS and how states should establish one.

CAP 784 – UK SSP

KEEP TRYING

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FACILITATORS

DAN PARSONSAerodrome InspectorCivil Aviation Safety Authority

+61 7 3144 7362

[email protected]

TIM ABBERTONResearch Consultant Airservices Australia

+61 2 6268 5724

[email protected]

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TERIMA KASIH

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PHOTO CREDITS

These were provided in the original presentations but all my cross-referencing got mixed up in putting this presentation

together.

All material was either my own work or creative commons material from the web.

This file to be used for internal reference only.

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PHOTO CREDITS (CONT.)

All icons & 12, 24, 25, 47, 64, 73 – (cc) Dan Parsons16 – (cc) http://www.flickr.com/photos/elyob/

17A – (cc) http://www.flickr.com/photos/skytruth/ 17B - http://www.flickr.com/photos/library_of_congress/

34 – (cc) http://www.flickr.com/photos/pinksherbet/39 – (cc) http://www.flickr.com/photos/dimodi/

38 – (cc) http://www.flickr.com/photos/23912576@N05/ 41 – (cc) http://www.flickr.com/photos/dexxus/

46 – (cc) http://www.flickr.com/photos/kanegen/ 50 – (cc) http://www.flickr.com/photos/zooboing/

59 – (cc) http://www.flickr.com/photos/drmtoiber/ 63 – (cc) http://www.flickr.com/photos/pagedooley/

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PHOTO CREDITS (CONT.)

80 – (cc) http://www.flickr.com/people/27609180@N00 88 – (cc) http://www.flickr.com/photos/olibac

92 – (cc) http://www.flickr.com/photos/infernal_elf/ 97 – (cc) http://www.flickr.com/photos/baltic-development-

forum/100 – (cc) http://www.flickr.com/photos/jakecaptive/ 101 – (cc) http://www.flickr.com/photos/horiavarlan/

102 – (cc) http://www.flickr.com/photos/booleansplit/ 103 – (cc) http://www.flickr.com/photos/thebusybrain/

104 – (cc) http://www.flickr.com/photos/tinou/ 106 – (cc) http://www.flickr.com/photos/pagedooley/

107 – (cc) http://www.flickr.com/photos/42033648@N00 108 – (cc) http://www.flickr.com/photos/ask9/