Transcript Slide 1

Bistvene značilnosti SMS (3) – vodenje SMS
Galiot SMS & Audit Management
for Airlines
GALIOT Users Days
8.- 9.May 2014
Split Airport
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Capt Damjan OTONIČAR, Flight Saftey Officer
Andrej PETELIN, Safety, Quality & Security Manager
Galiot SMS & CM for Airlines
1. Introduction
2. SMS – Safety Management System
1. SRM – Safety Risk Management
1. SRI – Safety Risk Investigation
2. SRA – Safety Risk Assesment
3. Audit management
1. CM - Compliance Monitoring
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Who are we, Adria Airways?
2011
1 x A320
180 seats
2 x A319
135 seats
Established in 1961
Joined Star Alliance in 2004
5(+1*) x CRJ900
84/86 seats
3(-1*) x CRJ200
11 aeroplanes
373 employees
19.509 flights (2013)
1.026.839 passenger (2013)
83% scheduled, 17% charter
48/50 seats
* in June 2014
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What we were looking for?
For IT tool:
1. To support SMS
to manage requirements of
Safety Management System
2. To replace IQSD
12 years old in-house made
Audit management tool called
Integral Quality System Database
to manage:
1. internal audits (20 days/year)
2. external audits (5 days/year)
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Bistvene značilnosti SMS (3) – vodenje SMS
25
years
Launch
Customer
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Reasons for Differences
1. Regulations & Standards for Operators
1. ICAO Standards
2. EU (and National) legislation
EASA = European Aviation Safety Agency
3. IATA Standard (IOSA SM)
IOSA = IATA Operational Safety Audit
1. IOSA SM = IOSA Standards Manual
4. ISO 9001:2008 Standard
2. Size, Complexity & Internal Organisation of Operator
1. 1 Safety Manager, 3 (6) Safety Investigators/Analysts
2. 1 Quality Manager, 10 Auditors
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NEW IT tools 2013: FRIR, GALIOT (2)
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Safety Information dissemination
Safety
Report
Flight
Safety
Bulletin
GALIOT
SMS
Safety
Information
Audit Report
GALIOT
SQM
* Safety Reports are NOT visible to other employees.
(by Flight Safety
Officer)
SMS
Bulletin
(by Safety
Manager)
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Processing of Safety Reports
Safety Report
Overview
Safety
Report
(SR)
Assigned to
Investigator
Assigned by
Safety Manager
NO
Safety Report
Investigation
(SRI)
Final
Review
YES
Performed by
the assigned
Investigator
A
R
C
H
I
V
E
Confirmed by
Safety Manager?
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Safety Risk Investigation (SRI)
Reactive process
based on Occurrence Reports
Process Owner: Flight Safety Officer
S
A
F
E
T
Y
R
E
P
O
R
T
I
N
V
E
S
T
I
G
A
T
I
O
N
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What is ADREP 2000 ?
ADREP = ICAO Accident / Incident Data Reporting
The ICAO ADREP 2000 taxonomy has been implemented in ECCAIRS. The
correct use of the taxonomy is important and a sound data analysis is only
possible if the same principles are applied for data entry.
ECCAIRS - European Coordination Centre for Accident and Incident Reporting Systems
The mission of ECCAIRS is to assist National and European transport
entities in collecting, sharing and analysing their safety information in order
to improve public transport safety.
EASA uses the ECCAIRS 5 software to store occurrence data.
EASA is preparing new requirements for Occurrence Reporting.
The ICAO ADREP 2000 taxonomy is based on SHELL model, intended as a
basic aid for understanding Human Factors.
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What is SHELL?
5 Components
S, H, E, L, L
4 Interfaces
L-S, L-H, L-E, L-L
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What is STEADES?
5 + (3)
Liveware + 4 Interfaces + (E + H + S)
21 + (3)
105 + (3)
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What is STEADES?
STEADES = IATA Safety Trend Evaluation, Analysis & Data Exchange System
IATA STEADES is a database that hosts de-identified incident reports from
participating airlines - over 95 airlines around the world. It contains over 500,000
records, grows approximately 50,000 records per year.
STEADES provides a benchmark and comparison possibility that provides a
more detailed answer to the question: “How safe are we?”
A classification system for events has been developed that permits detailed
and meaningful analysis.
The data is analysed to identify trends and areas of potential concern (e.g.
common and repeated operational events) giving both IATA and participants an
overview of industry performance and standards, and contributes to risk
assessment.
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Safety Performance Indicators (SPI)
STEADES terminology: Event Types & Descriptors
1. Impact / Effect Main Groups (3 groups)
1. Impacts / Effects (47 effects)
2. Event Type Main Groups (41 groups)
1. Event Types (537 types)
Note:
Some Event Types are defined as „real“ SPI (= Safety Performance Indicator)
in SMS manual.
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IATA STEADES Safety Risk Assesment 4x4 matrix
(Ref.OM-A 11.3.7.6)
S
E
V
E
R
I
T
Y
A4
B4
C4
D4
A3
B3
C3
D3
A2
B2
C2
D2
A1
B1
C1
D1
PROBABILITY
Probability categories:
Severity categories:
Investigation:
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Occurrence / Event Risk Classification (ERC)
* From EU research project ARMS (Aviation Risk Management Solutions)
ERC (Event Risk Classification)
ERC: 2 questions to determine Urgency
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Safety Risk Assesment (SRA)
Proactive process
based on Hazard/Risk Identification Reports
& Management of Changes process
Process Owner: Safety Manager (SMS)
Safety Risk Assesment (SRA)
SRA (1) - Safety Risk Assesment
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SRM (11) – Safety controls (controls/barriers/mitigations)
Safety controls, which reduce
the Severity of Hazard Consequence
Safety controls, which reduce
the Probability of Event
Technology, regulations/procedures, training = 3 levels of Safety controls.
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Compliance Monitoring
Process Owner: Compliance
Manager
What we were looking for in CM?
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Compliance Requirements
1. EU Regulation
EASA = European Aviation Safety Agency
1. Air Operations Regulation - (EU) No 965/2012
2. Air Crew Regulation - (EU) No 1178/2011
3. Continuing Airworthiness Regulation - (EC) No 2042/2003
2. IATA Standard (IOSA SM)
IOSA = IATA Operational Safety Audit
1. IOSA SM = IOSA Standards Manual (Edition 7)
3. ISO 9001:2008 Standard
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Iz OQM Rev.19
Ref: OQM Rev.19.
N
o
t
e
1
N
o
t
e
2
N
o
t
e
2
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Audit Management concept
1. All Audits are managed throught GALIOT SQM
2. Each Audit has 3 Audit Scopes (with Scopes Items)
1. EU regulation (Scope items: Regulation Requirements)
2. IOSA Standard (Scope Items: ISARP Groups)
Note: all ISARPs of ISARP Group are listed in IOSA Conformance Report
3. ISO 9001 Standard (Scope Items: Standard Requiremets)
Note: applicable requirements or „check process in acc.with NAQ16“
3. Main Audit Report contained in GALIOT SQM
Additional Audit Report: detailed IOSA Conformance Report (Excel)
4. All Findings are managed throught GALIOT SQM
Note: sometimes Findings are duplicated (same finding with reference to
EU regulation and with reference to IOSA Standard)
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Integral Audit Concept
Block 1
EU Regulation Item 1
Auditor 1
E-IOSA ISARP 1
Auditor 2
E-IOSA training
NOT required
E-IOSA ISARP 2
SHALL be
E-IOSA
TRAINED
E-IOSA ISARP 3
E-IOSA ISARP 4
EU Regulation Item 2
Block 2
E-IOSA ISARP 5
E-IOSA ISARP 6
E-IOSA ISARP 7
…
GALIOT SQM
Audit
Management
IOSA
Conformance
Report
ISO9001 item 1
Note: Basis for Blocks is EU Regulation to ISM 3,4,5,6 Crossreference Table (by IATA).
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By Auditor 1
By Auditor 1
E-IOSA Conformance Report
ISARPi na to temo
ISM Ed7 + TR-1: 959 ISARPs
- ISM section & ISARP ref.,
- ISARP text without GM
Section
ISARP
ISM Ed.7 TEXT (Reference Only)
By Auditor 2
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Processing of Findings
IOSA 2006
ISO 9001:2008
Step by Lead Auditor
BEFORE
AFTER
Finding
Root cause classification
5x
Why
Root cause description
Step by Auditee
Finding
5x
Why
Root cause description
Corrective Action Plan
Corrective Action Plan
Root cause classification
Corrective Action Plan Approval
Corrective Action Plan Approval
Corrective Action Done
Corrective Action Done
Corrective Action Follow-up
Corrective Action Follow-up
Formal Closing by Quality Manager
Formal Closing by Quality Manager
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Type of Findings
Noncomformity
*
Observation
Audit Item Status:
IOSA concept – used for Regulation & IOSA Standard Items:
NOT PERFORMED
NOT APPLICABLE
NOT DOCUMENTED NOT IMPLEMENTED
IMPLEMENTED NOT DOCUMENTED
DOCUMENTED NOT IMPLEMENTED
DOCUMENTED AND IMPLEMENTED
For ISO 9001 Standard Items:
NOT PERFORMED
NOT APPLICABLE
NOT OK
OK
*
mandatory accommplishment
„weight“ managed by required
rectification period
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SMS – SQM Crossfeed
Safety Report
Investigation
GALIOT
SMS
Add Finding *
Hazard/Risk
Identification Report *
* Galiot SRI selection option
GALIOT
SQM
Audit
* internal audit procedure
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When I think about Galiot, …
… I think about:
1. Experts in IT
2. Competent in SMS & SQM
3. Willing to discouss new ideas
4. With very flexible IT product
5. With very quick responsive and supportive attitude
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Safety Responsibility vs. Safety Accountability
FLT
GRN
CA
&M
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