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David Wyatt CEng MRAeS Head of Airworthiness (DOA) CAA / Industry Part145 Airworthiness Seminar 28 th October 2015 Safety Management System (SMS): POA/DOA experience

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Page 1: David Wyatt CEng MRAeS Head of Airworthiness (DOA) CAA / Industry Part145 Airworthiness Seminar 28 th October 2015 Safety Management System (SMS): POA/DOA

David Wyatt CEng MRAeSHead of Airworthiness (DOA)

CAA / Industry Part145 Airworthiness Seminar28th October 2015

Safety Management System (SMS): POA/DOA experience

Page 2: David Wyatt CEng MRAeS Head of Airworthiness (DOA) CAA / Industry Part145 Airworthiness Seminar 28 th October 2015 Safety Management System (SMS): POA/DOA

SMS: POA/DOA experience

• Introduction to Gama’s POA/DOA

• Drivers for Gama’s POA/DOA

• SMS definitions and terminology

• SMS working documents

• SMS costs and benefits

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Page 3: David Wyatt CEng MRAeS Head of Airworthiness (DOA) CAA / Industry Part145 Airworthiness Seminar 28 th October 2015 Safety Management System (SMS): POA/DOA

Gama Aviation PLC

Global private aviation services company

Headquarters: Farnborough, UK

Business activities:• Charter• Management• Aviation Software• Maintenance• POA/DOA

• Facts and figures• 5 continents• 40+ global locations• 140+ aircraft • 1500+ people

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Page 4: David Wyatt CEng MRAeS Head of Airworthiness (DOA) CAA / Industry Part145 Airworthiness Seminar 28 th October 2015 Safety Management System (SMS): POA/DOA

Gama Aviation PLC

Global private aviation services company

Headquarters: Farnborough, UK

Business activities:• Charter• Management• Aviation Software• Maintenance• POA/DOA

• Facts and figures• 5 continents• 40+ global locations• 140+ aircraft • 1500+ people

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Page 5: David Wyatt CEng MRAeS Head of Airworthiness (DOA) CAA / Industry Part145 Airworthiness Seminar 28 th October 2015 Safety Management System (SMS): POA/DOA

Gama Aviation (Engineering) Ltd

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Part 21 POA/DOAFairoaks Airport, Surrey UK• 5000 m2 • Hangars, workshops and offices• 50+ staff

Page 6: David Wyatt CEng MRAeS Head of Airworthiness (DOA) CAA / Industry Part145 Airworthiness Seminar 28 th October 2015 Safety Management System (SMS): POA/DOA

GAEL approvals

• EASA Part 21(G) POA• EASA Part 21 (J) DOA• EASA Part 145• EASA Part M CAMO• MAA DAOS• ISO 9001 (BSI)• FAA Repair station• Government of Bermuda aircraft maintenance

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Page 7: David Wyatt CEng MRAeS Head of Airworthiness (DOA) CAA / Industry Part145 Airworthiness Seminar 28 th October 2015 Safety Management System (SMS): POA/DOA

GAEL approvals

• EASA Part 21(G) POA• EASA Part 21 (J) DOA• EASA Part 145• EASA Part M CAMO• MAA DAOS ….driver for SMS• ISO 9001 (BSI)• FAA Repair station• Government of Bermuda aircraft maintenance

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Page 8: David Wyatt CEng MRAeS Head of Airworthiness (DOA) CAA / Industry Part145 Airworthiness Seminar 28 th October 2015 Safety Management System (SMS): POA/DOA

SMS drivers for Part 21

ICAO Annex 19 requirement.....

• EASA, CAA, FAA, ........Rest of World

• EASA RMT 0262, 0611, 0550 & 0612

• Phased programme: RMT, NPA, CRD etc

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Page 9: David Wyatt CEng MRAeS Head of Airworthiness (DOA) CAA / Industry Part145 Airworthiness Seminar 28 th October 2015 Safety Management System (SMS): POA/DOA

SMS drivers for Gama’s DOA

MAA* requirement

• DAOS* (Gama DOA now fully approved)

• DOA assessment (May 2012); “please explain your...”

• Safety policy?

• Hazard log?

• Top five risks?

• Safety culture????? = Major audit finding

*Military Aviation Authority, Design Approval Organization Scheme

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Page 10: David Wyatt CEng MRAeS Head of Airworthiness (DOA) CAA / Industry Part145 Airworthiness Seminar 28 th October 2015 Safety Management System (SMS): POA/DOA

Definitions and terminology

1. Safety

2. Accidents

3. Incidents

4. Reactive QA system

5. Proactive SMS

6. Accident Pyramid

7. Safety culture

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Page 11: David Wyatt CEng MRAeS Head of Airworthiness (DOA) CAA / Industry Part145 Airworthiness Seminar 28 th October 2015 Safety Management System (SMS): POA/DOA

SMS in simple terms.....

1. Safety

2. Accidents

3. Incidents

4. Reactive QA system: what went wrong?

5. Proactive SMS: what could go wrong?

6. Accident Pyramid

7. Safety culture

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Page 12: David Wyatt CEng MRAeS Head of Airworthiness (DOA) CAA / Industry Part145 Airworthiness Seminar 28 th October 2015 Safety Management System (SMS): POA/DOA

“Safety”

• CAA: “Safety is no accident”

• EASA: “Your safety is our mission”

• MAA: “Air Safety is the state of freedom from unacceptable risk of injury to persons, or damage, throughout the life cycle of military air systems”.

• ICAO: “The state in which the risk of harm to persons or property is reduced to, and maintained at or below, an acceptable level through a continuing process of hazard identification and risk management”.

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Page 13: David Wyatt CEng MRAeS Head of Airworthiness (DOA) CAA / Industry Part145 Airworthiness Seminar 28 th October 2015 Safety Management System (SMS): POA/DOA

Accident

An undesired event, leading to harm or loss to:

• Property

• Environment

• Business

• People

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Page 14: David Wyatt CEng MRAeS Head of Airworthiness (DOA) CAA / Industry Part145 Airworthiness Seminar 28 th October 2015 Safety Management System (SMS): POA/DOA

Incidents & occurrences

Incident: where an accident nearly occurred

Occurrence: something that could lead to an incident

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Page 15: David Wyatt CEng MRAeS Head of Airworthiness (DOA) CAA / Industry Part145 Airworthiness Seminar 28 th October 2015 Safety Management System (SMS): POA/DOA

Accident pyramid

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Accidents result from incidents and occurrences

Accidents and incidents are outcomes… ...arising from occurrences

Accidents

Incidents

Occurrences

1

30

300

Page 16: David Wyatt CEng MRAeS Head of Airworthiness (DOA) CAA / Industry Part145 Airworthiness Seminar 28 th October 2015 Safety Management System (SMS): POA/DOA

Reactive QA system

• What went wrong?

• Establish the root cause

• Could something like this happen again?

• Develop preventative action

• Blame/ punitive action

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Page 17: David Wyatt CEng MRAeS Head of Airworthiness (DOA) CAA / Industry Part145 Airworthiness Seminar 28 th October 2015 Safety Management System (SMS): POA/DOA

Reactive QA system

Hindsight…

“....an accident waiting to happen...”“…I could see that happening here…”

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Page 18: David Wyatt CEng MRAeS Head of Airworthiness (DOA) CAA / Industry Part145 Airworthiness Seminar 28 th October 2015 Safety Management System (SMS): POA/DOA

Proactive SMS

• Flying is not inherently safe, but ..........

• .........needs to be as safe as reasonably practical

• Risk likelihood vs. severity

• Chain of events will lead to accidents

• Incidents are precursors of accidents

• Safety culture

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Page 19: David Wyatt CEng MRAeS Head of Airworthiness (DOA) CAA / Industry Part145 Airworthiness Seminar 28 th October 2015 Safety Management System (SMS): POA/DOA

Safety culture

• Applies to all personnel and all activities of an organization

• Integrated in the organisation’s existing management system

• “See something/ say something”

• Collect and manage data

• Promote safety

• “Just” culture

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Page 20: David Wyatt CEng MRAeS Head of Airworthiness (DOA) CAA / Industry Part145 Airworthiness Seminar 28 th October 2015 Safety Management System (SMS): POA/DOA

GAEL SMS documents

• Management System Manual (company)

• Occurrence report and log (company)

• Key performance indicators (company)

• Error management log (design)

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Page 21: David Wyatt CEng MRAeS Head of Airworthiness (DOA) CAA / Industry Part145 Airworthiness Seminar 28 th October 2015 Safety Management System (SMS): POA/DOA

Hazard and error logs

ICAO 9859 strategies for a safety culture• Trying to find troubleNot just waiting for it to show up

• Predictive safety data capture systemsAggressively seek safety informationMay be indicative of emerging safety risks Derived from a variety of sources

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Page 22: David Wyatt CEng MRAeS Head of Airworthiness (DOA) CAA / Industry Part145 Airworthiness Seminar 28 th October 2015 Safety Management System (SMS): POA/DOA

SMS software tools

Commercially available software tools that automate: • Hazard reporting• Risk management processes • Safety promotion activities• .... and much more

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Page 23: David Wyatt CEng MRAeS Head of Airworthiness (DOA) CAA / Industry Part145 Airworthiness Seminar 28 th October 2015 Safety Management System (SMS): POA/DOA

Costs and benefits

Costs of collecting/ managing data offset by reduction in costs caused by harm or loss to:

•Business: reputation, lost customer(s), warranty claims

•People: person injured = loss of earnings, overtime etc

•Property: repairs, insurance claims

•Environment: fines

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Page 24: David Wyatt CEng MRAeS Head of Airworthiness (DOA) CAA / Industry Part145 Airworthiness Seminar 28 th October 2015 Safety Management System (SMS): POA/DOA

My final SMS messages..........

SMS culture = Proactive (≠ reactive)

SMS = “System of systems”

SMS = Business tool (≠ another layer of regulation)

David Wyatt CEng MRAeSHead of Airworthiness (DOA)

Gama Aviation (Engineering) Ltd

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