Setting the Scene Safety Survey and Role in Safety Management

ES2-WS03-12, IANS

Luxembourg 21st - 22nd Nov 2012

Dr. Frederic LieutaudES2 & ASMT Project ManagerEUROCONTROL Network Management Directoratefrederic.lieutaud@eurocontrol.int

Tony LicuHead of Safety UnitEUROCONTROL Network Management Directorateantonio.licu@eurocontrol.int

22/11/2012 2

Where we are - few definitions

“Safety is the state in which the risk of harm to persons or of

property damage is reduced to, and maintained at or below, an

acceptable level through a continuing process of hazard

identification and risk management.”

Safety is defined as ‘freedom

From accidental injury,’ which

can be achieved by ‘Avoiding injuries or harm to patients from care that is intended

to help them.’

Industrial safety can be defined as the ability to manage the risks

inherent to operations or related to the environment. Industrial safety

is not a dislike of risks; rather it is a commitment to clearly identify

them in relation to production operations, assess them in terms of

quality and quantity, and manage them.

22/11/2012 3

Today’s Best Practices in Service Provision

Reporting &

Investigation

Reactive

Proactive

Preventive

Proactive

Assessment

Surveys

MUAC proximity recordings may june july 2004 and 2005 - critical distance

map

critical distance

other proximities

B

C

D

A

ASMT

Hot Spot

Analysis

Safety MonitoringSafety Improvement

Safety Performance

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“Senior management were too easily satisfied that

the…system was being operated correctly, relying on the

absence of any feedback of problems as indicating that

all was well.” [1]

[1] The Hon Lord Cullen, ‘Public Inquiry into the Piper

Alpha Disaster’ (Department of Energy, London: HMSO,

1990). p33.

That being

The frequency is 1 failure in 10.000 events

This means 9.999 non failures in 10.000 events

Why Safety Survey

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Slide 5

Stage

Backstage!

Visibility ?Visibility ?

Internal View

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S a fe tyM o n ito r in g

S A F -S U R VS u rv e y C la s s ific a tio n

A N S P S M S

O p e ra t io n a lS u rv e y M e th o d s

E n g in e e r in gS u rv e y M e th o d s

R e a c tiv e M e th o d s

P ro a c tiv e M e th o d s

In c id e n ts /O c c u rre n c e s

R e lia b ilityD a ta /

F a ilu re s

C o n tin u o u sS a fe ty S u rv e y s

P e r io d ic S a fe tyS u rv e y s

T a rg e tte dS a fe ty S u rv e y s

S a fe tyS u rv e y

Addressing Operations

Operational & Technical Activities

Safety AssuranceSafety Survey

Types

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UNSAFE

TOO

RESTRICTIV

E

UNSAFE

TOO

RESTRICTIV

E

?

RationaleUNSAFE

TOO RESTRICTIVE

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Survey focus

Successive layers of defences, barriers, & safeguards

Hazards

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We need More and would like to add : From Negative to the Positive Safety

Negative outcomes are caused by failures and malfunctions.

All outcomes (positive

and negative) are due to performance variability.

- +Safety = Reduced

number of adverse

events.

Safety = Ability to

succeed under

varying conditions.

Safety = Ability to

respond when

something fails.

Improve ability to

respond to adverse

events.

Eliminate failures

and malfunctions as far as possible.

Improve resilience.

Designing forsuccess

The goal of Positive Safety is to increase the number of things that go right, by enhancing the abilities to respond, monitor, learn, and anticipate, thus change in mindset how we perceive safety

22/11/2012 10

Safety Surveys types that will be developed by Speakers vs positive safety

� Effectiveness of SMS : Commonalities with SMS Safety Surveys, application and role

of EASA visits

� Benefit to introduce D2D surveys, an approach to Operational Safety Surveys, what is

gained differently from other SMS procedures (e.g. Investigations) and how it is

different from an audit

� EUROSS, application of safety survey as a routine Observation

� Tools for improving safety surveys

� Use of safety survey for ATM Building cases

� Application of cooperation between ANSPs to perform international Audits, FAB

context

� Training Safety Surveys, evolution or revolution

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SAFETY

CULTURE

Commitment

Teaming

Learning &

ReportingResponsibility

Involvement

Communications

& Trust

We know: we need

more….

What is believedWhat is believed

Safety

performance

Safety

performance

What is saidWhat is said

What is doneWhat is done

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SMS, QMS and SecMS – Commonalities and Best Practices

Internal External

Reactive

Proactive

SafetyMonitoring

Safety Survey Safety Audit

SafetyAssurance

SafetyRegulation

Collation OfSafety

PerformanceData

Taking the opportunity to

saving time and resources

looking at

commonalities/overloaps

between Management

Systems

What about conflicts between

Management Systems ?

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Contact: frederic.lieutaud@eurocontrol.int

22/11/2012 14

Pro – Active

&

PreventiveSMS Efficiency

Safety SurveyPolicy

ReportHigh Level Mgt

Reaction & commitment

Staff Participation & Awareness

CEO

UnitManager

Safety Review Board

Regulator

SMS

Manual

Policy

Procedures

FOUNDATION

What is Safety Survey

SafetyManager

SafetySurveyor

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Achievement Assurance Promotion

Achieving high

safety standards

Assurance that risks are

being properly managed

Communicating safety

issues to foster safety

culture

Safety Surveys

Safety Monitoring

Safety Records

Safety

Improvement

Lessons Learnt

CONTINUOUS

IMPROVEMENT

Competency

Safety

Occurrences

External Services

Risk Assessment

& Mitigation

What is Safety Survey

22/11/2012 16

TO ACHIEVE SAFETYMEANS FOR ACHIEVING HIGH

SAFETY STANDARDS

TO ENSURE SAFETY

MEANS FOR PROVIDING ASSURANCE THAT RISKS ARE BEING PROPERLY MANAGED

AN APPROPRIATEORGANISATION

SYSTEMATIC ACTIONS

TO PROMOTE SAFETY

MEANS TO BUILD ASAFETY IMPROVEMENT CULTURE WITHIN THE

ORGANISATION

LESSON DISSEMINATIONDISSEMINATING PAST LESSONS WITHIN THE ORGANISATION

SAFETYIMPROVEMENTINVOLVING ALL STAFF AND IMPLEMENTING THE IMPROVEMENT OF SAFETY AS A CONTINUOUS PROCESS

SMS DOCUMENTATION THE SMS IS A DOCUMENTED SYSTEM ARISING FROM A SAFETY POLICY

COMPETENCYSTAFF TRAINED, MOTIVATED AND COMPETENT

SAFETY MANAGEMENT RESPONSIBILITY A SAFETY MANAGEMENT FUNCTION WITHIN THE ORGANISATION

EXTERNAL SERVICES DEALING WITH EXTERNALLY PROVIDED SERVICES

QUANTITATIVE SAFETY LEVELS DERIVING QUANTITATIVE LEVELS WHEREVER PRACTICABLE

SYSTEMATIC ACTIONSCONCERNING THE STEADY

STATE

DOCUMENTING SYSTEMATICACTIONS AND CHANGES

SAFETY SURVEYS SAFETY HAS TO BE VERIFIED INTERNALLY AND CONTINUOUSLY

SAFETY OCCURRENCES ATM OPERATIONAL OR TECHNICAL OCCURRENCES ARE INVESTIGATED INTERNALLY

SAFETY MONITORING CONTINUOUS MONITORING AND ANALYSIS OF SAFETY INDICATORS

RISK ASSESSMENT AND MITIGATION THE SAFETY OF NEW SYSTEMS AND CHANGES IS TO BE DEMONSTRATED USING A RISK BASED APPROACH. RISK IS ASSESSED AND MITIGATED.

RISK ASSESSMENT AND MITIGATION DOCUMENTATIONTHE RESULTS OF RISK ASSESSMENT AND MITIGATION PROCESSES ARE DOCUMENTED THROUGHOUT THE SYSTEM LIFECYCLE

SAFETY POLICY LEVEL

SAFETY RECORDSRECORDS ARE PRODUCED AND MAINTAINED THROUGHOUT THE SMS OPERATION

SAFETY MANAGEMENTTO IMPLEMENT A FORMAL AND EXPLICIT SAFETY MANAGEMENT APPROACH

SAFETY RESPONSIBILITYEVERYBODY HAS ANINDIVIDUAL SAFETYRESPONSIBILITY FORHIS/HER OWN ACTIONS

SAFETY PRIORITYOVER COMMERCIAL, OPERATIONAL, ENVIRONMENTAL OR SOCIAL PRESSURES

SAFETY OBJECTIVETO MINIMISE THE ATM CONTRIBUTION TO THE RISK OF AN AIRCRAFT ACCIDENT

REQUIREMENTS FORSAFETY MANAGEMENT

SYSTEMS

Figure - Safety Management System Requirements

Safety SurveysSafety has to be verified

internally and continuously

Safety Survey as Part Of SMS