DGAC Commitment with the SSP-SMS · “dgac commitment with the ssp-sms ... aviation risk matrix ....

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“DGAC Commitment with the SSP-SMS ”

Claudio Pandolfi, MBA Senior Safety Manager

Dirección General de Aeronáutica Civil

AGENDA

I.- SAFETY POLICY & OBJECTIVES

II.- SAFETY RISK MANAGEMENT

III.-SAFETY ASSURANCE A.-REACTIVE

B.-PROACTIVE

C.-PREDECTIVE

VI.-SAFETY PROMOTION

V.- CONCLUSIONS SSP : STATE SAFETY PROGRAM SMS: SAFETY MANAGEMENT SYSTEM

BACKGROUND Since 2006: ICAO issued a Safety Management Manual

(SMM, Doc 9859) describing the concepts and practices of

a SMS.

MAY 2007, the Chilean DGAC trained national aviation

organizations and personnel, introducing the SMS

framework.

MAR 2008: A group of safety and aviation specialists

start working on a SSP Document for Chile.

NOV 2009: ICAO requires Member States to implement

a SSP Program by Nov 2010.

JUN 2010: Chilean DGAC publishes the SSP document

(PNSO).

I. SAFETY POLICY & OBJECTIVES

LEGAL FRAME

GASP

STRATEGIC PLAN

SSP

AERONAUTICS LAW

LEGAL FRAME

SAFETY PLAN

AERONAUTICAL STANDARD

SMS - P

II. SAFETY RISK MANAGEMENT

8

OPERATIONAL RISK MANAGEMENT

( MAROP )

IDENTIFICATION ( REPORTS)

EVALUATION OF THEIR RESULTS ( MX, %)

CHOICE THE SOLUTIONS (SYSTEMATIC)

IMPLEMENTATION OF ACTION ( DO)

ADRESS ( CONTROL )

AT

S

DGAC STATE SAFETY PROGRAM (SSP)

DASA AUDITORÍA DSO

TR

AIN

ING

CE

NT

ER

S

AVIATION COMMUNITY

FRAMEWORK SSP – DGAC

SAFETY MANAGEMENT SYSTEMS

NATIONAL AIR SYSTEM

MA

INT

EN

AN

CE

O

RG

s

SMS SMS SMS SMS SMS

AV

IAT

ION

C

OM

PA

NIE

S

Ref: ICAO –Plinio SMS 2007

AIR

PO

RT

S

SMS

FLIG

HT

IN

SP

EC

TIO

N

OPERATIONAL PHILOSOPHY

AVIATION RISK MATRIX

III. SAFETY ASSURANCE

Comunicación

Interna y

Externa

Gestión del

Riesgo

Acciones

Correctivas, y

Preventivas

Auditorias

SIGA

Evaluación de la

Satisfacción de

Clientes y Partes

Interesadas

Control

Documentos

Control

Registros

Revisión por la

Dirección

Seguridad

Operacional

Servicios

Aeroportuarios

Navegación Aérea

(Servicio Tránsito

Aéreo)

Control

Producto No

Conforme

Procesos de Apoyo

Procesos Estratégicos

Procesos Control y Mejora

Identificación y

Evaluación

Cumplimiento Legal

Investigación de

Accidentese Incidentes

(Ambientales y Laborales)

Plan y Respuesta a

Emergencias

Ambientales

Planificación y

Programación

Servicios

Meteorológicos

Gestión

Interna y

Externa

THE BIG PICTURE SIG – DGAC (ISO 9001 – ISO 14001 – OHSAS 18001 – SMS)

Evaluación

Clima y Cultura

Organizacional

CLI

ENTE

– P

AR

TE IN

TER

ESA

DA

CLIEN

TE – PAR

TE INTER

ESAD

A

Política

Alcance

Objetivos

Manual Integral

Acta de Mejoramiento

Informe Dueño de Proceso

APO - 001 APO - 002 APO - 003

SIGA - 001

SIGA - 002

SIGA - 003 SIGA - 004

SIGA - 005

SIGA - 006

SIGA - 007

SIGA - 008

SIGA - 010 SIGA - 011 SIGA - 012

Investigación

Interna de

Accidentes

Aéreos

APO - 004

Seguridad Aérea

Interna

Evaluaciòn

Proveedores

Internos

SIGA - 013

Organigrama

Editora Revista Contacto

Asesor Medioambiental : José Miguel Martínez

Jefe Proyecto SIGA Encargado Investigación Accidentes

Director General

Coordinador SIGA

Coordinador SIGA DASA

Director Planificaciòn / Rep. Dir

Encargada SIAC

Encargado Ofic. Personal

Designado Director DASA

Asesor SIGA

Encargado Sección Prevención de Accidentes

Abogado Depto Jurídico

Designado Logística

Coordinador SIGA DASA

SIGA - 009

BALANCED SCORECARD

Key Performance Indicators (KPI)

SSP PROCESSES - REACTIVE

Accidents 1 – 5

30 – 100

Mayor Incidents

100 – 1000

Incidents

1000 – 4000

Latent Conditions

Reactive Methods Acc. Investigation (DAR13)

9,68

8,18

13,36

10,33

11,81

7,88

9,88

12,87

8,97 9,37

0,00

2,00

4,00

6,00

8,00

10,00

12,00

14,00

16,00

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Accidentes por cada 100.000 despegues (tasa)

(2002-2012)

Acc/100K dep. Lineal (Acc/100K dep.)

TENDENCIA

• The trend shows slightly downward towards the end of the period.

• Public transportation (greater than 5,700 kilograms in-flight regular aircraft) accidents were

not recorded in the period.

• Last accident of public transport (non-regular flight): Puerto Williams, on February 21,

1991.(21 years)

• The probability of occurrence of an aviation accident is: 0,0000937 to 2011.

% de aplicación Normativas

Implementación I.C.

100.000

120.000

140.000

160.000

180.000

200.000

220.000

240.000

0

5

10

15

20

25

30

35

2007 2008 2009 2010 2011

me

ro d

e d

esp

egues

me

ro d

e in

vestig

acio

nes

Año

Accidentes versus despegues. Chile, 2007-2011Fuentes: Oficina de Análisis

Accidentes Despegues

Accidentes v/s N° Despegues

ECAAIRS European Co-ordination Centre for Aviation Incident Reporting Systems

SSP PROCESSES - PROACTIVE

Accidents 1 – 5

30 – 100

Mayor Incidents

100 – 1000

Incidents

1000 – 4000

Latent Conditions

Reactive Methods

Proactive Methods

Acc. Investigation (DAR13)

Safety Audits SARSEV LOSA / NOSS

LOSA / NOSS ….

• LOSA : LINE OPEREATIONS SAFETY AUDIT • NOSS: NORMAL OPERATIONS SAFETY SURVEY

LOSA Err…

Handling

8%

Controles de vuelo4%

Sist/ Intrs/ Radios18%

Comunicaciones

externas

8%

CallOuts

1%

Briefing6%

Documentación

4%

Otros Errores de proc

18%

Otros

0%

Automatizacion

16%

Navegacion

terrestre2%

Listas de chequeo8%

Verificación

Cruzada

4%

Comunicación

Piloto- Piloto

3%

• LOSA : LINE OPEREATIONS SAFETY AUDIT

AUDIT PROGRAM

Sep 2013 18 Ene 2009 Bol Air

Nov 2013 21 Mar 2009 ACCA

Jul 2012 Cargo

Abr 2011

Ecuador

Oct 2010 Argentina

Oct 2010 Peru

Jul 2010 Vía Express

Empresas

Auditoría Re Certificación

Plazo Cierre No Conformidades

Auditoría

Certificación

Pre Audit. realizada

Empresa

Plazos :

• Al 31-DIC-10 Auditoria programada

• Al 31-DIC-11 Auditoria Realizada

• Al 31-DIC-12 Registro INSP. Cumplido

21 Dic 2008

ANONYMOUS FLIGHT SAFETY REPORTING SYSTEM

SARSEV (Anonymous Safety Report System) is a voluntary, anonymous and non punitive report system.

Through SARSEV, pilots, controllers, flight attendants, maintenance technicians, and other operational agents in aviation can report unsafe occurrences and hazardous situations.

It’s information is used only with aims of prevention and promotion of safety.

CONCEPT

http://legacy.icao.int/fsix/safetyLinks.cfm

Voluntary.

Anonymous.

Limited. Criminal offenses (transgressions),

accidents, security and other type of

information which doesn’t align with SARSEV

principles and should be notified through

other means available, are not accepted.

Inclusive. Addresses every person involved

directly in the aviation operation.

Non punitive.

Reliable. SARSEV Committee. Has it’s own

corporative image.

PRINCIPLES

PRODUCTS

Alert Messages and Safety Communications

TEM & HF Workshops

Safety Bulletin

Safety Data Base

SSP PROCESSES PREDICTIVE

Accidents 1 – 5

30 – 100

Mayor Incidents

100 – 1000

Incidents

1000 – 4000

Latent Conditions

Reactive Methods

Proactive Methods

Predictive Methods

ACC. INVESTIGATION (DAR13)

SAFETY AUDITS SARSEV NOSS

FDA AIRMAN

FDM/FOQA (Flight Operation Quality Assurance)

A safety incident/accident reporting system

Accident/incident investigation

Evaluates employee training

Internal evaluation program

Routine monitoring programs

Review of external evaluation programs

Safety Review Council Member

AIRMAN IN OPERATION - DEPARTURE

Flight By Wire Aircraft equipped with

Datalink System

Flights are displayed in AIRMAN in a shape of a box.

AIRMAN needs to receive

movements messages as OUT and

OFF in order to build a flight

OUT : When the aircraft begins to

push back out of departure gate

OUT received Taxi out status

Off : When the aircraft takes off

OFF received In flight status

AIRMAN IN OPERATION - FLIGHT

VHF/HF

Transmission

Ground station (Operator)

Service Provider

Real-Time messages are sent from a/c through ACARS using SATCOM or VHF transmission, are transmitted thanks to a data provider and received on a ground station.

SATCOM

Fault received

Warning received

Warning

Fault

AWARENESS PROGRAM FRMS

FRSM : FATIGUE RISK MANAGEMENT SYSTEM

IV. SAFETY PROMOTION

SAFETY PROMOTION INTERNAL

INTERNET / INTRANET SMS

CHALLENGES 2020

PHASES SMS ATS/AP.

CHALLENGES Chilean DGAC has to deal with different grades and phases of

SMS implementation, having providers with a great knowledge of

safety measures and less consolidated organizations which,

nevertheless, must be given incentives.

SMS/SSP implies ever-changing dynamics: better ways and

trends on hazard prevention will always appear so the Chilean

aviation system must have the ability to be flexible.

Legal aspects: We need to address safety related issues in

Chilean law, specially the protection of safety information and

criminal related issues.

Aviation in Chile is considered very safe, so creating the need for

additional safety measures in stakeholders can be difficult.

SMART CHALLENGE....

TEAMWORK

I+D+i

SOP

REAL GOALS

LEADERSHIP

SAFETY CULTURE

CONCLUSIONS

Safety can and should be managed through SMS/SSP.

SMS/SSP implementation is a slow and step-by-step

process: It is about changing a culture.

Our knowledge of safety has evolved. In Chile,

different methods to manage risk. (reactive, proactive,

predictive).

The SMS/SSP framework requires coordination

among multiple authorities and organizations of civil

aviation in Chile.

¡MUCHAS GRACIAS POR SU ATENCIÓN!

prevac@dgac.cl o +56 2 4392485

WWW.DGAC.CL

“DGAC Commitment with the SSP-SMS ”

Claudio Pandolfi, MBA Senior Safety Manager

Dirección General de Aeronáutica Civil

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