SMS & Occurrence Reporting

Ren Roorda, senior advisor

20 oktober 2010

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SMS & Occurrence Reporting 20 oktober 2010

Safety management: whats new?

Safety measure

Prevention

Mitigation

Consequence

Hazard/cause

Event

Safety measure life cycle management

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SMS & Occurrence Reporting 20 oktober 2010

Safety measure PDCA

Update safety risk analysis

Safety performance/costs

Safety targets/recourses

Establish safety measures

Evaluate safety measures

Execute safety measures

input process output

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SMS & Occurrence Reporting 20 oktober 2010

Safety management processes

Risk assessment
Safety hazards

Hazard identification

Safety accidents/incidents

Safety risks

Safety policy

Safety targets

Safety control

Safety conditions

Safety operation

Safety deliverables

Safety performance

Safety recommendations

Safety monitoring

Safety level

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SMS & Occurrence Reporting 20 oktober 2010

Occurrence reporting potential

Trend monitoring Risk analysis Root-cause analysis ?

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SMS & Occurrence Reporting 20 oktober 2010

Example trend monitoring (1)

Year

Landings

2001 2002 2003 2004 2005 2006 2007 2008 2009

101.023 106.945 111.245 117.248 121.331 133.216 136.879 129.563 131.197

Unstable approaches (abs) 23 28 26 31 28 44 33 35 31

Unstable approaches (per million landings) 228 262 234 264 231 330 241 270 236

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SMS & Occurrence Reporting 20 oktober 2010

Example trend monitoring (2)

Unstable approaches (trend)
350 300 per million landings 250 200 150 100 50 0 2001 2002 2003 2004 2005 2006 2007 2008 2009 year Unstable approaches (per million landings)

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SMS & Occurrence Reporting 20 oktober 2010

Example risk analysis (1)

Year 2001 2002 2003 2004 2005 2006 2007 2008 2009 total (abs) total (rel)

Unstable Injuries - Injuries approaches none minor 23 22 1 28 26 2 26 25 1 31 28 2 28 27 1 44 41 2 33 33 35 32 2 31 30 1 279 1,000 264 0,946 12 0,043

Injuries significant

Injuries - Injuries serious fatal

1 1 1

2 0,007

1 0,004

0 0,000

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SMS & Occurrence Reporting 20 oktober 2010

Example risk analysis (2)

Unstable approaches (risk profile)
1,000 0,900 0,800
probability density

0,700 0,600 0,500 0,400 0,300 0,200 0,100 0,000 Injuries none Injuries minor Injuries significant
injury category

Unstable approaches

Injuries serious

Injuries fatal

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SMS & Occurrence Reporting 20 oktober 2010

What should be kept in mind

Policy

Safety management board

Safety indicator(s)

- communication power - proxy power - data power

- procedure(s) - competence

Data analyst

Occurrence Observer(s)- Reporter(s)

Is occurrence reported?

Occurrence report Registrator

What is reported? Is occurrence registrated?

Occurrence registration

Database

Data manipulation & analysis

- data quality standard - database interface > query function

What is registrated? - data standard - coding standard - database interface > insert function > read function > update function > delete function

Safety indicator value(s)

- awareness - procedure(s) - competence - discipline

- data standard - discipline

- procedure(s) - competence