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Day 1. WORKSHOP, Nicosia 2-3rd July 2008 “Extension of SAFETY & QUALITY Common Requirements to the EMAC States” Item 5 : Existing Best Practices in Service Provision. Gilles LE GALO EUROCONTROL DAP/SSH. 1. Existing Best Practices in Service Provision. 2. Reference Channel(s). - PowerPoint PPT PresentationTRANSCRIPT
Gilles LE GALOEUROCONTROL DAP/SSH
Day 1
1
WORKSHOP, Nicosia 2-3rd July 2008“Extension of SAFETY & QUALITY Common Requirements to the EMAC States”
Item 5 : Existing Best Practices in Service Provision
Existing Best Practices in Service Provision
2
Existing Best Practices in Service Provision
Reference Channel(s)
Reporting Channel(s)
SMS
3
Existing Best Practices in Service Provision
SAFETYMANAGER
SAFETY MANAGEMENT MANUAL
SAFETYPOLICY
4
Existing Best Practices in Service Provision
Responsibilities &
accountabilities
Dedicated TRAINING
SAFETYREVIEW BOARD
Organisation
5
Existing Best Practices in Service Provision
REACTIVE
Reporting & Investigation
6
Existing Best Practices in Service Provision
Reporting & Investigation
7
Existing Best Practices in Service Provision
Reporting & Investigation
LAN
ASMT IDAData acquisition
from network
ASMTHMI & REPLAY
New alert list: New alert list:
180604abcd180604abcd
ASMTCONVERSION
Data conversioninto internal ASMT format
ASMTLOGIC
Detects and Processes
Safety events
ASDBORACLE
INCaS
LOGIC
DB/HMI
TCAS
8
Existing Best Practices in Service Provision
Reporting & Investigation
LAN
ASMT IDAData acquisition
from network
ASMTHMI & REPLAY
New alert list: New alert list:
180604abcd180604abcd
ASMTCONVERSION
Data conversioninto internal ASMT format
ASMTLOGIC
Detects and Processes
Safety events
ASDBORACLE
INCaS
9
Existing Best Practices in Service Provision
PREVENTIVE
Safety surveys
10
Existing Best Practices in Service Provision
PROACTIVE
Risk assessment
11
Existing Best Practices in Service Provision
MONITORING
12
Existing Best Practices in Service Provision
Safety Improvement
13
Existing Best Practices in Service Provision
But that is not the end of it we
need more….
14
‘The safety culture of an organisation is the product of individual and group values, attitudes, competencies and patterns of behaviour that determine commitment to, and the style and proficiency of, an organisation’s health
and safety management’ [Advisory Committee for Safety on Nuclear Installations (HSC, 1993, p. 23)]What is believedWhat is believed
Safety performance
Safety performance
What is saidWhat is said What is doneWhat is done
Safety Culture
15
SAFETY CULTURE
Commitment
Teaming
Learning &Reporting
Responsibility
Involvement
Communications& Trust
Safety Culture
16
Just Culture Safety
occurence
Action / omissiontraceable to ATCO
Violation of a regulatory provision
Yes
Gross negligence
Yes
Criminal offense
Yes
Factual qualification
Inadequate attitude? Honest « error »No SMS to address these for
the single purpose of improving safety
Occurrences without breach of
rules
No SMS to address these for the single purpose of
improving safety
Systemic issueNo SMS to address these for the purpose of
improving safety
Issue for the competence of justice
17
Actions
Omissions criminal acts
gross negligence
Inad
equa
te a
ttitu
de?
Fact
ual q
ualifi
catio
n?
Honest mistakes
Management to monitor these and take disciplinary actions as required
SMS to address these for the single purpose of
improving safety
Issue for the competence of justice
Facts qualify as violation
no negligence
Just Culture
18
Thank you for your attention
Gilles LE GALOEUROCONTROL DAP/SSH
Day 1
19