Safety down day october 2010
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Safety Down Day October 2010. Thank you for your participation!. ORM. In flying, I have learned that carelessness and overconfidence are usually far more dangerous than deliberately accepted risks.— Wilbur Wright in a letter to his father, September 1900. ORM.

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Safety Down Day October 2010

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Safety down day october 2010

Safety Down DayOctober 2010

Thank you for your participation!


Safety down day october 2010

ORM

In flying, I have learned that carelessness and overconfidence are usually far more dangerous than deliberately accepted risks.— Wilbur Wright in a letter to his father, September 1900


Safety down day october 2010

ORM

http://flash.aopa.org/asf/flightrisk/learn-about-flight-risk.cfm


Operational risk management

Operational Risk Management


The 5m concept

The 5M Concept

Man, Media, Machine, Management, Mission


The 5m concept man 1

The 5M Concept – Man (1)

I’M SAFE

Illness

Medication

Stress

Alcohol

Fatigue

Emotion

All of the above can degrade performance and should be considered a risk.


The 5m concept media 2

The 5M Concept – Media (2)

Media is the environment in which anyone is conducting an activity.

Snow Storm

Runway

Dust Storm

Mountain Areas


The 5m concept machine 3

The 5M Concept – Machine (3)

This is an example of the proper user interface with a computer. It minimizes the effects of muscle fatigue, carpel tunnel, and straining of the eyes, among other things. You can use ORM each day at a computer to prevent such injuries.

When dealing with a machine, knowing its maintenance history (logbook, check recent issues), performance (max weight), parts, upkeep, repair, et cetera is all important. The preflight inspection is therefore significant in order to check and review the design, maintenance, logistics, and tech data of the particular aircraft you are about to takeoff in.


The 5m concept management 4

The 5M Concept – Management (4)

Management is always YOU!

After all the regs, policies, analyses, and gathered opinions, YOU are the one who makes the final decision if the activity you are about to partake in is risky.

Does the benefit(s) outweigh the risk(s)?

YOU have the final say: Go/No-Go


The 5m concept mission 5

The 5M Concept – Mission (5)

Traffic Reports

EPA Watches

Counter Drug Ops

Search and Rescues


Operational risk management1

Operational Risk Management

Now that we’ve reviewed what contributes to ORM, where does the Civil Air Patrol stand with ORM and how do we conduct an actual ORM assessment for a situation?


Cap orm vision

“Create a Civil Air Patrol in which all personnel manage risk such that all operations are successfully completed at the least possible cost.”

CAP ORM Vision


Cap orm mission

“Enhance mission effectiveness at all levels while minimizing risk.”

CAP ORM Mission


Orm principles

Accept no unnecessary risks.

Make risk decisions at the appropriate level.

Accept risks when benefits outweigh costs.

Integrate ORM into doctrine and planning at all levels.

ORM Principles


Accept no unnecessary risk

What are the three main reasons that “unnecessary risks” are sometimes taken?

How can the taking of unnecessary risks be minimized?

Corollary is “Accept Necessary Risk”.

Accept no unnecessary risk

Flying is tough, it's even tougher if you do something stupid. Don't do nuthin dumb!

~ Ralph Royce (US WWII Army Air Forces General)


Three reasons for taking unnecessary risks

#1 - Not aware of the risk.

#2 - An incorrect assessment of cost versus benefit.

#3 - Interpreting “bold risk taking” to mean gambling.

Three reasons for taking unnecessary risks

Don’t be a show-off. Never be too proud to turn back.. There are old pilots and bold pilots, but no old, bold pilots. - E. Hamilton Lee


Procedures for minimizing the taking of unnecessary risk

Improve hazard detection procedures and awareness of risks.

Improve risk decision making skills at all levels of the organization.

Train personnel at all levels regarding the risk management “credo” not “Mission accomplishment at any cost”, but “Mission accomplishment at the least cost.”

Procedures for minimizing the taking of unnecessary risk

There is no reason to fly through a thunderstorm in peacetime.

~ Sign over squadron ops desk at Davis-Monthan AFB, AZ, 1970.


The orm 6 step process

The ORM 6 - Step Process

1. Identify

the Hazards

6. Supervise

and Review

2. Assess

the Risks

5. Risk Control

Implementation

3. Analyze

Risk Control

Measures

4. Make

Control

Decisions


Operational risk assessment orm simplest example

Operational Risk AssessmentORM Simplest Example

1. Identify the Hazards: Limited visibility due to the fog and a hill. You are unfamiliar with this road and have no idea what is on the other side.

2. Assess the Risks: Due to the fog and hill obstructing your vision you will have difficulty seeing traffic or obstructions on the road.

3. Analyze Risk Control Measures: You have no control over the weather but you can control your speed.

4. Make Control Decisions: Slow down. This is the only option available to you.

5. Implement Risk Controls: Slow down to a safe speed.

6. Supervise and Review: Assess whether or not your new speed is slow enough for the conditions and adjust as needed.


Hazard versus risk

HAZARD VERSUS RISK

A description of a condition that

can impair mission accomplishment.

No indication of its mission significance.

HAZARD

A hazard for which we have

estimated the severity,

probability, and scope

with which it can impact

our mission.

RISK


Severity

What impact on mission?

What impact on people?

What impact on things (material, facilities, environment)?

SEVERITY


Severity categories

SEVERITY CATEGORIES

  • CATASTROPHIC - Complete mission failure, death, or loss of system

  • CRITICAL - Major mission degradation, severe injury, occupational illness, or

  • major system damage

  • MODERATE - Minor mission degradation, injury, minor occupational illness,

  • or minor system damage

  • NEGLIGIBLE - Less than minor mission degradation, injury, occupational

  • illness or minor system damage


Probability

Use the cumulative probability of all causation factors.

Express in descriptive or quantitative terms.

Use experience data when possible.

Acknowledge uncertainty.

PROBABILITY


Probability categories

Frequent

Likely

Occasional

Seldom

Unlikely

PROBABILITY CATEGORIES


Safety down day october 2010

Probability

Frequent

Likely

Occasional

Seldom

Unlikely

A

B

C

D

E

S

Extremely

I

Catastrophic

E

V

II

High

Critical

High

High

E

R

III

Moderate

Medium

I

T

Low

IV

Negligible

Y

Risk Levels

The Risk Assessment Index


Risk assessment detailed

Risk Assessment (detailed)


Operational risk management conclusion

Operational Risk ManagementConclusion

Realize the rock is there, Analyze if the rock will cause harm, Mitigate the harm.

Don’t get caught under a boulder! But a pebble won’t hurt. (if not dropped from a large distance, that is…)


Some delaware wing mishap reports

Some Delaware Wing Mishap Reports

  • Weather damage to aircraft: snow and ice caused aircraft tail to hit ground.

  • Mitigation: Sand bag on nose during icing and heavy snow conditions

  • Cadet Laceration: due to fall over pipe sticking out of the ground

  • Mitigation: stay on lighted path; require a flashlight in night conditions while off a path; be sure grounds are safe

  • Fire during engine start: minimal damage due to situational awareness and quick action of crew

  • Mitigation: sustain the least damage by being aware and anticipating what to do in the event of a fire

  • Cadet Sprained Ankle: due to fall in hole in ground

  • Mitigation: Walk around inspection of grounds before activity


How can the following be mitigated

How can the following be mitigated?


How can the following be mitigated1

How can the following be mitigated?


How can the following be mitigated2

How can the following be mitigated?


How can the following be mitigated3

How can the following be mitigated?


How can the following be mitigated4

How can the following be mitigated?


How can the following be mitigated5

How can the following be mitigated?


How can the following be mitigated6

How can the following be mitigated?


How can the following be mitigated7

How can the following be mitigated?


Additional information

Additional Information

AOPA Aviation Security:

http://www.aopa.org/whatsnew/la-security.html

Additional information available at the ORM University through the Civil Air Patrol Website: http://creports.capnhq.gov/ormu/

Canadian Safety Management System (SMS) Transport Canada website

GAIN products (including risk assessment, airline flight ops, etc.) and proceedings available – www.gainweb.org

– report on Safety Management Systems on the cd and website

Aviation Conference Education (ACE) – courses

http://www.skygod.com/quotes/piloting.html


Additional information con t

Additional Information (con’t)

FAA – introductory System Safety Course (OKC; 3-day course)

http://rgl.faa.gov/regulatory_and_guidance_library/rgadvisorycircular.nsf/0/6485143d5ec81aae8625719b0055c9e5/$FILE/AC%20120-92.pdf

FAA Office of System Safety (www.faa.gov) - advice on system safety issues

System Safety Handbook – FAA

http://www.faa.gov/library/manuals/aviation/risk_management/ss_handbook/

Appendix to FAA order 8040.4 for FAA contact points for specific areas of expertise

SAE – www.sae.org

– ARP4761 – guidance for airlines and other organizations

– courses/conferences


Safety down day october 2010

Thank you for your attention and as always,

Be Safe!


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