NATA Safety 1st Management System Reporting

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NATA Safety 1st Management System Reporting
Investigation Webcast 4
2007
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Previous Assignment

• Develop a complete list of potential jobs or
  tasks with hazards by department.
• Perform a JHA on one or more high-risk areas.
• Are your controls adequate? Is there evidence to
  support this?
• Do you have a Safety Committee?
• When was the last time your company addressed a
  safety issue to employees?
• Review Module 4 Safety Management Plan
  Development of Hazard Identification Process
  More Tools.

Webcast 3 Assignment Review
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SMS Documentation

• Safety Management Plan
• SMS Documentation
• Accident/Incident/Near Miss Reporting
• Self Disclosure
• Safety Committee
• Safety Communications
• Accident Prevention

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A formal SMS produces ongoing significant and
permanent improvements in safety.
Reporting Investigation

• It is the near miss or small ding that an
  employee fails to report for fear of retribution
  that can later lead to a very serious accident.
• It has been estimated that for every major
  accident, there are as many as 360 near misses
  that might have identified an underlying problem
  in time to prevent the accident.
• All employees need to believe that incidents and
  events can be reported without fear of
  retribution.

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ACCIDENT/INCIDENT REPORTING
Accident / Incident Reports
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Accident/Incident Reporting Setting Policy and
Developing Procedures
All accidents and incidents involving any
employee or asset shall be immediately reported
to the Safety Coordinator/ Manager or General
Manager.

• The Safety Coordinator / Safety Manager and
  General Manager should be available 24 hours via
  an emergency communication listing.
• A written account of the accident or incident
  will be submitted as soon as possible, normally
  no later than 24 hours after the occurrence.
• In the event of an accident or incident, the
  appropriate Event Reporting Form shall be
  utilized.
• These forms can be found on the secure area of
  the NATA Safety 1st Website
• Printed copies of the accident/incident forms
  should be located at each workstation.

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Accident/Incident Reporting (Continued)
All accidents and incidents involving any
employee or asset shall be immediately reported
to the Safety Coordinator / Safety Manager or
General Manager.

• Blank paper can be used if the recommended form
  is not available.
• All reports should be faxed to the appropriate
  personnel within your organization.
• The Supervisor / Manager will forward the report
  to the Safety Coordinator / Safety Manager and
  all other applicable departments.
• Pictures and witness statements should be taken
  immediately, if possible.

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Accident/Incident Reporting (continued)
To the extent possible, the following information
should be included in the initial report of an
accident or incident, as applicable

• Description of the occurrence (include weather
  conditions, etc.)
• Time of occurrence
• Location of the occurrence
• Number of persons involved
• Number and description of injuries (all persons)
• Aircraft tail number, if applicable
• Aircraft damage, if applicable
• Other property or equipment damage

• Description of hazardous material / restricted
  articles that may be involved
• Employee names and names of others involved
• Description of actions taken to secure damaged
  equipment and cargo
• Details of any investigation performed by airport
  authority, or other agency
• Name and phone number of the person reporting the
  occurrence
• Name and phone number of witnesses

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Accident/Incident Report Processing Procedures

• All Accident / Incident and Injury Reports shall
  be submitted to the Safety Coordinator / Safety
  Manager. This will normally be accomplished
  within 24 hours of the occurrence.
• The Safety Coordinator / Safety Manager, based on
  the severity of the accident / incident and all
  other factors will determine the appropriate
  category of accident/incident (e.g., hangar,
  ramp, equipment, etc.) in order to facilitate the
  data collection process.

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Accident/Incident Report Processing Procedures
(continued)
To Help SMS Members

• The Safety Coordinator / Safety Manager will
  submit the report using the appropriate Event
  Reporting Form within 5 business days from
  initial notification.
• The Event Reporting Form can be used by your
  company as its Incident Reporting Form.
• The Safety 1st third-party consultant will enter
  the report information in the appropriate safety
  database category(s).
• The report details will be de-identified and
  summarized in the eToolkit.

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Accident/Incident Report Processing Procedures
(continued)

• Upon receipt of report conclusions, the Safety
  Coordinator / Safety Manager shall implement
  recommended corrective action(s) and monitor
  their effectiveness.
• The Safety Coordinator / Safety Manager will
  notify the individual that originally submitted
  the report of the corrective action taken.

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Incident Reporting
If there is any doubt, file a report for any of
the following

• System defect that adversely affects the handling
  characteristics of the aircraft and renders it
  unfit to fly
• Anytime an emergency is declared
• Safety equipment or procedures are defective or
  inadequate
• Deficiencies exist in operating procedures,
  manuals or instructions

• Incorrect loading of fuel, cargo or dangerous
  goods
• Ground damage occurs
• A runway or taxiway excursion occurs

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Incident Reporting (continued)
If there is any doubt, file a report for any of
the following

• Any part of an aircraft or ground equipment is
  sabotaged or vandalized
• Security procedures are breached
• Significant handling difficulties are experienced
• Communications fail or are impaired

• Foreign object damage (FOD) occurs
• A co-worker improperly performs their job or puts
  personnel or equipment at risk
• Equipment abuse
• Any other event considered to have serious safety
  implications

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Accident / Incident Investigation
If an occurrence is determined to be an accident,
the procedures listed in the event investigation
plan must be followed.

• Safety Coordinator / Safety Manager shall
• Conduct initial incident investigation
• Analyze the details of the occurrence
• Interview witnesses
• Identify contributing factors
• Safety Coordinator / Safety Manager must
  accomplish these items as soon as possible so
  corrective measures can be implemented to prevent
  similar situations.
• Safety Coordinator / Safety Manager will file a
  report to senior management specifying the
  corrective action(s) or interim measures taken to
  prevent a reoccurrence.

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Accident / Incident Investigation
Other Reporting Requirements

• Occurrences resulting in lost time must be
  reported to the Human Resources Department.
• These occurrences will, in turn, be reported to
  the Department of Labor (DOL) on the applicable
  DOL form.
• Any accident resulting in the death of a worker
  must be reported immediately, without exception,
  to the Human Resources and Safety Departments.
• Accident / Incident Investigation procedures are
  provided in your SMS Guide.

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Self DisclosureNon-Punitive Policy
Self-Disclosure Reports
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Self-Disclosure Reports

• Self-disclosure reports may come from a trusted
  source that has considered all of the
  contributing elements to an event or potential
  event.
• Reports may include suitable action to prevent
  the event from occurring.
• In these cases, the report can be closed upon
  receipt if the Safety Coordinator / Safety
  Manager determines no further action is required.

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Self-Disclosure Reports

• If follow-up to a self-disclosure report is
  required, the Safety Coordinator / Safety Manager
  must take action or assign action to the
  appropriate department(s).
• The Safety Coordinator / Safety Manager will
  review responses and, if satisfactory, recommend
  closure at the next Safety Committee meeting.
• If responses are unsatisfactory, the incident
  must remain open for continuing review.

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Non-Punitive Reporting Process

• To ensure your companys commitment to safe
  operations, it is imperative that you have
  uninhibited reporting of all incidents and
  occurrences that compromise the safety of your
  operations.
• Each employee is asked to accept the
  responsibility to communicate any information
  that could affect safety.
• Employees must be assured that this communication
  will never result in reprisal, allowing a timely,
  uninhibited flow of information to occur under
  normal circumstances.

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Safety Communication
Safety Communication
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Safety Communication
Safety communication should heighten safety
awareness in all employees.

• Safety communication program includes
• Visibility
• Ground / flight safety updates
• Common location for safety postings
• Safety page

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Safety Communications
The Safety Coordinator / Safety Manager should
distribute ground/flight safety updates to all
personnel. These updates should include

• NATA Safety 1st information
• NATA eToolkit Bulletins
• NATA Flitebag Bulletins
• Safety Committee meeting highlights
• Company memos from senior management addressing
  safety
• Incidents and lessons learned

• Workers compensation statistics
• Airport provided safety alerts and information
• Industry specific information
• Equipment manufacturer recommendations
• Other safety related trends as may be provided by
  your insurance company, insurance broker, etc.

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Safety Communications
Frequency of communication is crucial to keeping
safety fresh on the minds of all employees.

• NATA recommends a monthly safety communication
  program that is provided to all employees,
  regardless of shift or location.
• Communication plan can have some information
  distributed on a monthly basis, and other
  information on a quarterly basis.

Keep the Safety Communication Coming

• Make sure it focuses on the critical issues.
• Take advantage of all available resources.

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Safety Communications
Best Practice

• The Safety Coordinator / Safety Manager should
  also maintain a safety page on your companys
  website or on the companys safety bulletin board
  listing other pertinent safety-related
  information.

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Employee / Management Internal Communication
Program
Internal Communication
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Employee / Management Internal Communication
Program
Employees are encouraged to express concerns or
ideas to the Safety Coordinator / Safety
Manager.

• Concerns can be submitted either verbally or in
  writing.
• Writing down the idea creates a record that can
  be tracked and filed.
• A verbal comment can lose its impact over time.
• Written correspondence should include employee
  name and contact number to obtain additional
  information and provide feedback.
• Feedback is important to indicate that employee
  input matters to senior management.
• Even if an idea or suggestion wont work, tell
  the employee why.
• Employees will always appreciate being in the
  loop.

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Assignment

• Perform a JHA using the sample forms (Please fax
  or email).
• Establish your Safety Committee and schedule
  first meeting.
• Establish an agenda and distribute within one
  week of the meeting.
• Review Module 5 We will provide samples of root
  cause techniques after this session.

Webcast 4 Assignment
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End of Webcast 4
Questions
This Concludes Webcast 4