1. David Wyatt CEng MRAeS Head of Airworthiness (DOA) CAA / Industry Part145 Airworthiness Seminar 28 th October 2015 Safety Management System (SMS): POA/DOA experience

2. SMS: POA/DOA experience Introduction to Gama’s POA/DOA Drivers for Gama’s POA/DOA SMS definitions and terminology SMS working documents SMS costs and benefits 2

3. Gama Aviation PLC Global private aviation services company Headquarters: Farnborough, UK Business activities: Charter Management Aviation Software Maintenance POA/DOA Facts and figures 5 continents 40+ global locations 140+ aircraft 1500+ people 3

4. Gama Aviation PLC Global private aviation services company Headquarters: Farnborough, UK Business activities: Charter Management Aviation Software Maintenance POA/DOA Facts and figures 5 continents 40+ global locations 140+ aircraft 1500+ people 4

5. Gama Aviation (Engineering) Ltd 5 Part 21 POA/DOA Fairoaks Airport, Surrey UK 5000 m 2 Hangars, workshops and offices 50+ staff

6. GAEL approvals EASA Part 21(G) POA EASA Part 21 (J) DOA EASA Part 145 EASA Part M CAMO MAA DAOS ISO 9001 (BSI) FAA Repair station Government of Bermuda aircraft maintenance 6

7. GAEL approvals EASA Part 21(G) POA EASA Part 21 (J) DOA EASA Part 145 EASA Part M CAMO MAA DAOS ….driver for SMS ISO 9001 (BSI) FAA Repair station Government of Bermuda aircraft maintenance 7

8. SMS drivers for Part 21 ICAO Annex 19 requirement..... EASA, CAA, FAA,........Rest of World EASA RMT 0262, 0611, 0550 & 0612 Phased programme: RMT, NPA, CRD etc 8

9. SMS drivers for Gama’s DOA MAA* requirement DAOS* (Gama DOA now fully approved) DOA assessment (May 2012); “please explain your...” Safety policy? Hazard log? Top five risks? Safety culture????? = Major audit finding * Military Aviation Authority, Design Approval Organization Scheme 9

10. Definitions and terminology 1.Safety 2.Accidents 3.Incidents 4.Reactive QA system 5.Proactive SMS 6.Accident Pyramid 7.Safety culture 10

11. SMS in simple terms..... 1.Safety 2.Accidents 3.Incidents 4.Reactive QA system: what went wrong? 5.Proactive SMS: what could go wrong? 6.Accident Pyramid 7.Safety culture 11

12. “Safety” CAA: “Safety is no accident” EASA: “Your safety is our mission” MAA: “Air Safety is the state of freedom from unacceptable risk of injury to persons, or damage, throughout the life cycle of military air systems”. ICAO: “The state in which the risk of harm to persons or property is reduced to, and maintained at or below, an acceptable level through a continuing process of hazard identification and risk management”. 12

13. Accident An undesired event, leading to harm or loss to: Property Environment Business People 13

14. Incidents & occurrences Incident: where an accident nearly occurred Occurrence: something that could lead to an incident 14

15. Accident pyramid 15 Accidents result from incidents and occurrences Accidents and incidents are outcomes…...arising from occurrences Accidents Incidents Occurrences 1 30 300

16. Reactive QA system What went wrong? Establish the root cause Could something like this happen again? Develop preventative action Blame/ punitive action 16

17. Reactive QA system Hindsight… “....an accident waiting to happen...” “…I could see that happening here…” 17

18. Proactive SMS Flying is not inherently safe, but...................needs to be as safe as reasonably practical Risk likelihood vs. severity Chain of events will lead to accidents Incidents are precursors of accidents Safety culture 18

19. Safety culture Applies to all personnel and all activities of an organization Integrated in the organisation’s existing management system “See something/ say something” Collect and manage data Promote safety “Just” culture 19

20. GAEL SMS documents Management System Manual (company) Occurrence report and log (company) Key performance indicators (company) Error management log (design) 20

21. Hazard and error logs ICAO 9859 strategies for a safety culture Trying to find trouble Not just waiting for it to show up Predictive safety data capture systems Aggressively seek safety information May be indicative of emerging safety risks Derived from a variety of sources 21

22. SMS software tools Commercially available software tools that automate: Hazard reporting Risk management processes Safety promotion activities.... and much more 22

23. Costs and benefits Costs of collecting/ managing data offset by reduction in costs caused by harm or loss to: Business: reputation, lost customer(s), warranty claims People: person injured = loss of earnings, overtime etc Property: repairs, insurance claims Environment: fines 23

24. My final SMS messages.......... SMS culture = Proactive (≠ reactive) SMS = “System of systems” SMS = Business tool (≠ another layer of regulation) David Wyatt CEng MRAeS Head of Airworthiness (DOA) Gama Aviation (Engineering) Ltd 24