SMS triggers
By OffRoadPilots
Safety management system (SMS) triggers are conditions
or events that triggers or activates responses within
the safety management system framework of an airport or
airline. SMS is a systematic approach to managing
safety and implemented in industries where safety is
critical, such as aviation, healthcare, construction,
and manufacturing.
Triggers events or
circumstances that
prompt the
organization to
assess potential
risks, review safety
procedures, and take
corrective actions
to prevent accidents
or incidents.
Triggers very
diverse and comes in
different shapes and
forms.
Incident reports of accidents, near misses, or
incidents serve as triggers, prompting an organization
to investigate the root causes and implement corrective
measures.
Safety data analysis of safety data, including trends
and patterns, can reveal potential issues or areas of
concern that may trigger a proactive safety response.Audits and inspections findings trigger corrective
actions to address identified deficiencies and enhance
safety protocols.
Regulatory changes or changes to standards serve as
triggers, requiring organizations to update their
safety procedures to remain compliant. Airport
standards changed not long ago, and triggered a new way
for airports and airlines to do airside business.
Equipment failures or malfunctions of critical
equipment trigger a review of maintenance practices and
operational processes.
Employee reports regarding safety concerns,
observations, or occurrences triggers investigation for
special cause variations and root cause analyses for
continuous safety improvement.
Environmental changes in the external environment, such
as weather conditions or natural disasters, trigger a
review of the safety management system and its
processes.
Training and competency gaps in employee training or
competency trigger review and possible additional
training programs.
The goal of identifying and responding to triggers
within an SMS is to achieve continuous improvements in
safety performance and mitigate risks, without changing
processes that works. It involves a systematic and
proactive approach to managing safety rather than a
reactive one, allowing airports and airlines to
mitigate hazards before they escalate into events.Conventional wisdom is that SMS triggers must have a negative impact on operations. When airports and airlines take a negative approach to their SMS, their
responses are reactive to events, which also include
their proactive processes. An incident is required for
a reactive process to be triggered, and an observation
is required for a proactive process to be triggered.
Any time an action is required to be initiated by an
incident or observation the active process becomes a
reactive process.
An observation refers to the act of closely and
deliberately watching or perceiving something to gain
information. It involves using the senses, such as
sight, hearing, touch, taste, or smell, to gather data
about a particular phenomenon, event, or object.
Observations are fundamental components of conducting
analyses and research to assess potential impact of
known hazards.
Observations can be qualitative, involving descriptions
and characteristics, or quantitative, involving
measurements and numerical data. Observations provide
the foundation for testing, theories, and gaining a
better understanding of the impact a hazard may have on
airport or airline operations.
When an SMS goal is to prevent hazards from becoming
incidents, then hazard discovery is a proactive
approach to safety. However, known hazards are just the
top of the iceberg of hazards, with several other
unknown hazards hidden in the observation process.
While it is true that this approach to hazard
management has great values to aviation SMS, it is alsoa false sense of safety that they have mitigated all
operational hazards by active hazard identification.
Hazards that often are not considered hazards, are
taxiway and taxilane markings. Pilots are trained to
follow and obey the marked taxilane without deviation,
and they assume that that by following the lane all
taxi hazards are avoided. This is not always the fact.
When special cause variations are present, following a
taxilane is a live hazard. There are several
occurrences where an aircraft has crashed into an
obstacle by following a taxilane.
A proactive approach to safety is to take observe for
special cause variations and take this into account.
There is a
difference between
common cause
variation and
special cause
variations. Common
cause variations are
integrated into the
processes, and they
are necessary for
processes to
function as
intended. On the other hand, special cause variations
are by nature not a hazard, but they are integrated in
abnormal airline and airport operations. Special cause
variations are integrated into operations, but they are
not integrated into the processes for processes to
function as intended.
Identifying special cause variations become available
to an SMS enterprise by data, information, knowledge,
and comprehension.
Data refers to information related to the potential
hazards, risks, and safe usage of processes. This data
is crucial for ensuring safety of individuals, as well
as for regulatory compliance. Safety data typically
includes details about the chemical composition,
physical properties, toxicity, flammability,
reactivity, and other relevant characteristics of a
substance, but with the implementation of the safety
management system in aviation, it became applicable to
processes.
One common form of safety data is Material Safety Data
Sheets (MSDS) or Safety Data Sheets (SDS). These
documents provide comprehensive information about a
chemical product and are often required by regulations
and standards. They are intended to be used by workers,
emergency responders, and others who may be exposed to
or handle the substance.
In various industries, safety data is a key component
of risk assessment and management. It helps
organizations identify and mitigate potential hazards
associated with their products or processes, thereby
promoting a safer working environment, and protecting
the well-being of equipment, individuals, and the
environment.
Safety Data Sheets are made available by an SMS
enterprise in the forms of Airside Operations Plans,
and Aircraft Operations Plans. These plans are designed
and developed specific as applicable to each airportand airline. These types of plans describe special
cause variations. Example of an airside operations plan
is an airport Plan of Construction Operations, which is
non-standard operations at airports. This plan contains
deviations from standard airside General Operations,
Aerodrome Data, Physical Characteristics, Obstacle
Management, Visual Aids, Marking and Lighting of
Objects, Aerodrome Lighting System Design and
Operations, and Aerodrome Maintenance.
Information generally refers to data that is organized
and processed to have meaning or value. It is a concept
that encompasses knowledge, facts, and data that are
communicated and understood. Information is typically
used to convey meaning, make decisions, and solve
problems.
In a more technical sense, information can be seen as a
reduction in uncertainty. When data is processed and
organized in a way that reduces ambiguity or
uncertainty, it becomes information. This
transformation involves giving data context, relevance,
and purpose, which allows it to be interpreted and used
by individuals or systems.
There are various forms of information, including
textual, numerical, visual, and auditory, among others.
The field of information theory provides a mathematical
framework for studying the quantification, storage, and
communication of information.
In everyday language, the term information is often
used to refer to facts or knowledge about a particular
subject. In the context of technology and
communication, information can be transmitted throughvarious channels, such as books, websites, speeches,
and digital media.
Knowledge refers to
information,
understanding, or
skills that a person
acquires through
experience,
education, or
learning. It
involves awareness
and familiarity with
facts, concepts,
skills, and truths about the world. Knowledge can be acquired through various means, including personal
experiences, formal education, observation,
communication, and interaction with the environment.
Knowledge must be preserved for the next generation.
There are different types of knowledge.
Explicit knowledge is knowledge that can be easily
articulated and documented. It is often found in books,
articles, databases, and other formalized sources.
Tacit knowledge is more implicit and difficult to
express in words. It is often rooted in personal
experience, skills, and intuition. Tacit knowledge is
commonly gained through practical, hands-on activities.
In addition to learning new skills, recurrent training
of airport personnel and flight crew is about improving
current knowledge and skills.
Procedural knowledge is about how to do something. It
involves knowing the steps and processes required to
perform a specific task or achieve a particular goal.
Declarative knowledge is knowledge about facts and
information. It involves understanding what something
is, how it works, or the relationships between
different pieces of information.
Knowledge is dynamic and can be built upon, revised,
and expanded over time. It serves as the foundation for
problem-solving, decision-making, and overall cognitive
processes. Additionally, the application of knowledge
often leads to the development of skills and expertise
in specific areas.
Comprehension refers to the ability to understand or
grasp the meaning of something. It involves the mental
process of interpreting and making sense of
information, whether it be written or spoken language,
visual stimuli, or any other form of communication.
Comprehension is not just about recognizing words or
symbols, it also involves understanding the context,
connecting ideas, connecting systems, and extracting
meaning from the information presented.
Comprehension skills are crucial in various aspects of
life, including education, communication, problem-
solving, and decision-making. Strong comprehension
skills allow individuals to process information
effectively, make informed judgments, and engage with
the world around them in a meaningful way.
Aviation SMS requires triggers to activate processes.
An easy and effortless tool to research SMS triggers is
to access published research and accredited opinions
online.
Distinguishing between facts and opinions is crucial
for critical thinking and informed decision-making, and
selection of SMS triggers.
Facts can be
objectively
verified. They are
based on evidence
and can be proven
true or false
through observation
or reliable sources.
Facts are historical
data and are not
influenced by
personal beliefs or
emotions.
Facts are specific and concrete. They provide details
that can be corroborated and are not open to
interpretation.
Opinions are subjective and reflect personal beliefs,
feelings, or preferences. They cannot be objectively
proven or disproven.
Opinions often involve expressions of value, taste, or
personal judgment.Opinions can vary from person to person and are open to interpretation. Different individuals may hold
different opinions on the same issue.
Both facts and opinions are invaluable tools for an SMS
enterprise to establish and apply SMS triggers.
A safety management system is based on a safety policy,
which is a vision of the forward path they are taking.
When moving forward on the path into the future the
unknown lays ahead and opinions are required to design
and develop processes. An example is a cockpit
checklist, and the flight crew is required to check and
complete 25 items. An opinion may be that a checklist
should follow the flow of the cockpit layout, while a
fact is that all items are still included without a
cockpit flow. Another example are the scheduled airport
inspections. An airside maintainer is required to check
180 runway edge lights, and the opinion is that the
lights should be checked in sequency from one runway
end to the other end before moving over to the other
side of edge lights and the other runway. A fact is
that all 180 lights are still included in the check if
all lights are randomly selected and checked.
Remember, in some cases, there can be a gray area where
information might have elements of both fact and
opinion. Developing critical thinking skills and being
mindful of the context can help navigating these
situations more effectively.
The foundation for SMS triggers is abnormal airport
operations or abnormal flight operations. Special
airport operations, such as plan of construction
operations triggers special fight operations forairlines. SMS triggers identified by the airport
operator are then added to flight operations as SMS
triggers. These triggers are temporary in nature as
long as the construction is ongoing, and when there are
changes with progress updates from the airport
operator.
When applying SMS triggers an SMS enterprise are using
a positive approach to SMS, as opposed to a negative
approach were hazards and incidents must occur for an
SMS reaction.
Applying SMS trigger is a new approach to safety and
different what the aviation industry expects today.
SMS triggers does not change the current approach to
SMS, and the fact that there will always be hazards and
risks, so proactive management is needed to identify
and control these threats to safety before they lead to
mishaps. What has changed is to apply known special
cause variations, also known as abnormal operations as
their proactive approach to safety.
The common safety process is accomplished in five
steps. A safety issue or concern is raised, a hazard is
identified, or an incident or accident happens. The
concern or event is reported or brought to the
attention of management. The event, hazard, or issue is
analyzed to determine its cause or source. Corrective
action, control or mitigation is developed and
implemented, and the corrective action is evaluated to
make sure it is effective.
If the safety issue is resolved, the action can be
documented, and the safety enhancement maintained. Ifthe problem or issue is not resolved, it should be re-
analyzed until it is resolved.
SMS triggers are identified airport or airline events
creating abnormal operations. Airports classify their
runways and taxiway by Aircraft Group Number (AGN),
which is based on aircraft wingspan. AGN are published
in the aeronautical publication to provide a simple
method for interrelating the numerous technical
specifications concerning the aerodrome and the
characteristics of the critical aircraft for which the
aerodrome is provided.
When there are
changes to airport
operations, such as
construction, the
AGN may change. This
is a special cause
variation and is not
a hazard since
runways and taxiways
maintain support for
their critical
aircraft. The
special cause
variation may require the airline to operate a
different type of aircraft during time of construction
to accommodate for the temporary change in the AGN.
A hazard is any source or situation that has the
potential to cause harm, damage, or adverse effects to
people, property, the environment, or any other aspect
of life. Hazards can take various forms, including
physical, chemical, biological, ergonomic, andpsychosocial factors. They are often associated with specific activities, processes, substances, or conditions that pose a risk to health, safety, or well-being.
Understanding and managing hazards is crucial in
various fields, such as workplace safety, environmental
protection, and public health. The goal is to identify,
assess, and control hazards to prevent accidents,
injuries, or negative impacts. Hazard analysis is a
common practice in risk assessment, helping to
determine the likelihood and severity of potential harm
and implementing measures to mitigate or eliminate
those risks.
Everything is not a hazard, and a change in aircraft
type, or runway does not render aircraft or runway
unsuitable for continued operations.
An SMS trigger is a new obstacle under an approach but
is below the approach surface and does not change
anything on the approach. This could be a temporary
crane hanging powerlines, or road construction adjacent
to the airport. This information is published in the
aeronautical information for airlines to add to their
SMS triggers. It is not a hazard, since the obstacle is
below the approach, but it is abnormal operations
because the first thing a pilot see when breaking out
at 200FT is a crane below the aircraft.
Another SMS trigger are changes to declared distances
for any reason. It could be construction. Declared
distances would change for any reason to maintain
airport operations during scheduled or unscheduled
events. They could change because of an incident on adifferent runway, it could be because of airside
maintenance, it could be because of snow removal or for
any other reasons.
An operational sound SMS requires SMS triggers to be
established when abnormal operations take place. During
hours of abnormal operations, data is collected,
analysed, and documented. Data points are entered for
analysis by a statistical process control (SPC) method
identifying if abnormal operations processes are in
control or out of control processes.
The same SMS trigger principle is also used for normal
operations and data collection for operations without
special cause variations. It is more important for an
SMS enterprise, both airports and airlines, to learn
why things go right than it is to know why things go
wrong.
OffRoadPilots
useful article
ReplyDeleteFor ISO Certification Consultants contact www.factocert.com