Transcript Another Morning with CPR

Human Factors &
Safety Management Systems
Mike O’Leary
Eddie Rogan
Accidents,
hardly ever happen without warning!
Led to the setting up of ‘Aviation Safety Reporting
System’ (ASRS) by NASA
This collected incident reports from pilots,
controllers, mechanics, cabin attendants and
many others involved in aviation operations.
4 Elements to a successful Safety
Reporting Programme
Trust
Confidentiality
Motivation
Ease of Reporting
TRUST
Is the most important foundation of a
successful reporting programme
Without such trust, reports, if any, will be
highly selective
Vital to earn the trust of the reporter
CONFIDENTIALITY
Reporters confident that their own identities
& colleagues are indemnified against
disciplinary procedures
Separate the organisation that receives the
incident reports from the authority
regulating the reporters from the
organisation that employs them
Motivation
Reporters need to see some safety value in
their reports
Need to know how their reports will be used
Outcomes (Updates) in a weekly page or
monthly newsletter is essential
Ease of Reporting
Collection and returning of questionnaires to
a suitable location to protect confidentiality
BA - Crew members file their reports into the
Safety Services Office
2 Types of Questionnaires
Air Safety Report (ASR)
Human Factor Questionnaire (HFR)
Confidential Human Factors
Reporting System
BASIS
Front Screen of BASIS
Browser
The browser lists all the HF events in the selected database along with
various fields such as Risk, Date, HF Admin, Status etc.
Details
9 Notes Tab
This tab gives the various notes associated with the incident.
Questions
Remember:
Your incident is probably not unique.
Something like it has almost certainly
happened to someone else already.
Your report might prevent the same thing
happening again or provide a colleague
with a useful solution to a problem.
Human Factors and SMS?
Presentation
By
Eddie Rogan
Aviation Solutions Director
Superstructure Group
www.superstructuregroup.com
What is AQD ?
 AQD is the world’s leading aviation Safety and Risk
Management software, used by more airlines to support
their SMS than any other system
 AQD facilitates application of best practice safety
management and quality assurance principles to effect a
cycle of continuous improvement as defined in the ICAO
SMS process
 AQD provides a comprehensive set of flexible and easy to
use tools to support each phase of the process
www.superstructuregroup.com
What is AQD ?
www.superstructuregroup.com
91 Customers
Airlines, airports, ATCs and aviation authorities including....
www.superstructuregroup.com
91 Customers
We also have an Australian railway customer......................
www.superstructuregroup.com
How AQD Works
AQD enables your organisation to:




Gather data from multiple sources
Analyse it with ease
Track documented fixes
Monitor on going operational integrity
www.superstructuregroup.com
Integrated safety & risk management
Environment Health Human Security
and
Factors
Safety
Safety
Audits
Risk
Assess
A single view of Safety data
www.superstructuregroup.com
Ops
What is AQD ?
One-stop-shop for safety and risk information
Integrated Risk
Management
IEP
Incidents
Pilots
IOSA
 Safety
LOSA
 Quality
Flight Attendants
Internal Audits
Dispatchers
Airport Staff
Flight Data
 Security
Mechanics
AQD
Human Factors
 Occupational
 Environmental
Ground crew
 etc
Reports
Safety reports, Audits and
Risk Assessments
www.superstructuregroup.com
A single view of
information
Jim Reason’s Theory
Defences
Occurrence
Hazard
Latent
Conditions
Audit
Programme
Unsafe
Acts
Investigate
Finding
Cause
Action
Report
Finding
Cause
Action
Cause
Action
Action
www.superstructuregroup.com
www.superstructuregroup.com
Finding
Cause
Action
www.superstructuregroup.com
How AQD Works - Monitor
5
4
3
2
1
0
05/01
05/02
05/03
05/04
05/05
05/06
05/07
05/08
05/09
www.superstructuregroup.com
05/10
05/11
05/12
Functionality Summary
 Report Incidents and Occurrences
 Manage Investigations
 Manage Audits
 Identify Causal Factors
 Track Actions
 Manage Risk
 Analyse data
 Communicate to management and staff
www.superstructuregroup.com
Our Vision
To be the global leader in enterprise risk management information
systems that meets the needs of the converging executive operational
arenas and drives behavioral change
By:
• Expanding an already proven user friendly set of processes
• Leveraging established blue chip industry relationships and
experience
• Delivering automated and integrated best practice business risk
processes across the enterprise
Benefits
• Reduction of risk, costs and disruptions
• Organizational insights
• Process to drive behavioral change
www.superstructuregroup.com
Realising the Vision
Enterprise Risk
Management
2009 +
Safety & Risk
Management
Aviation Safety &
Quality Management
System
2008-2009
www.superstructuregroup.com
Thank You.
www.superstructuregroup.com