Self Evaluation of SMS
By Catalina9
Self
Evaluation of your SMS is a hot topic these days. The question is how an
operator really is capable, without bias, of evaluating their own Safety
Management System, or operational processes. The answer is, they are not. Yes,
they might be able to comply with the regulatory requirement, but no matter
what emotional rationale is applied, it doesn’t fit the principles of SMS. The
more logic that is used as arguments that an operator, being airport or
airline, is capable to fairly assess their SMS, the more emotions they are
putting into their arguments. An SMS that implies emotions becomes its worst
enemy. Unless an operator is capable of comprehending the answer to the
following question, they are operating with a check-box SMS only, to satisfy
the Regulator. This is the same question as posted before: “Why does the Global Aviation Industry, being Airlines or Airports,
need a Safety Management System (SMS) today, when they were safe yesterday
without an SMS?”
SMS is the compass to success |
One
of the reasons why this question must be answered it to define the purpose of
the SMS and goal achievements activities. Without a purpose, goal achievement
activities and safety motivation is without context. The question is not applicable
as a bulk question to any and all operator, but is applicable to each
individual operator’s demand. One SMS requirement is for an operator, being
airline or airport, to have in place process for setting goals for the
improvement of aviation safety and for measuring the attainment of those goals.
Without a purpose goals cannot be established. Making operations safer is not an
improved purpose, since operations were safe yesterday without the SMS. Unless
operators are meeting this requirement their Goal Setting system does not
conform to regulatory compliance. Goals must be defined, specific and
believable. Without a goal achievement plan the operator is setting all principles
of SMS up for failure.
SMS
is nothing else but hard work for everyone involved. It was incorrectly sold to
the aviation industry as a system that magically would solve all problems and
eliminate all accidents. This fact can easily be tested by conducting an
operational risk-assessment analysis with the operator accepting one accident annually.
Turn this risk assessment in to the Regulator for acceptance and see what
response you get. So far, since the beginning of SMS, the Regulator does not
accept an operator at a risk level accepting one accident annually. This fact
is a contributing factor to a biased self evaluation of the operational SMS. An
operator, when conducting their self evolution, must therefore conduct a biased
self-evaluation and ensure that they have checked the box not accepting
accidents. Yes, nobody wants accidents to happen on their watch. However, who is capable to foresee the future
with a risk assessment that ensures there are no accidents ever. The only way
SMS can function effectively, and an operator can conduct their own
self-evaluation without biased, is when they are allowed to operate in an
environment with a risk-level accepting accidents. That’s the only way an
operator can take actions to prevent accidents.
Today,
automation in aviation is trusted to be flawless and operate in an accident
free environment. The manufacturer fully believing that their automated systems
are fail-free, and perfect. Because it is about automation, nobody is allowed
to question if this automation have flaws. Since nobody knows there are flaws
in automation, nobody can make changes to improve. Human errors don’t dissipate
by removing operational controls from the Captain of an aircraft. Human errors
are constant and transferred to the operational system taking over the Captains
control. The automation is more precise in aircraft control than a person, but
this does not remove human error. All it is, is that human errors are
transferred from the Captain controlling the aircraft to the person designing
the software system for automation. SMS
can only work when the industry accepts that you can find human performance
limitations in the software systems just as much as in the hands of a Captain.
Several
years ago, when a young NDT inspector found a flaw in the CT disk of an
aircraft engine, that person was removed from the NDT process. The reason for
not accepting that this flaw was real, was that the process of manufacturing
the CT disk was viewed as being fail-free and without flaws. About a decade
later, but not related directly, an aircraft engine failed in the skies above
the MidWest fields and a finding with a similar cause of failure. The following
statement is NTSB finding: “The National
Transportation Safety Board determines that the probable cause of this accident
was the inadequate consideration given
to human factors limitations in the inspection and quality control
procedures used by United Airlines' engine overhaul facility which resulted in
the failure to detect a fatigue crack originating from a previously undetected metallurgical defect located in
a critical area of the stage 1 fan disk that was manufactured by General
Electric Aircraft Engines.” We are now at the same stage in aviation
history where automation is viewed as fail-free just because it is more precise
in aircraft control.
Self evaluation is nothing else but to undo the final result |
SMS
is nothing else but hard work, but operators, being airlines or airports,
expects SMS to be the magic want that prevents accidents. If this was not the
fact, nobody would be surprised of the recent airplane crashes. Operators hire
pilots as Captains, they hire accountants to manage their cash, they hire
lawyers to eliminate litigation, but the only requirement to hire somebody as
their SMS Manager or Director of Safety to operate the SMS system is that they
are willing to accept the title.
The
future of SMS is how self-evaluation is conducted. An operator can effectively
conduct their own unbiased self-evaluation, by implementing their required SMS
daily quality control systems.
Catalina9
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