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Case Study: Implementing

Safety Management System (SMS)


in Malaysia Airlines
Corporate Safety, Security,
Health & Environment
(CSSHE)
19th August, 2008

Presentation Outline
Overview
Why are we doing it?
How are we doing it?
SMS Open Reporting Culture
Safety Action Plan
Safety Dashboard
Safety Management Review

DCA-SMS

Overview SMS Life Cycle Model


Started 2006, Relaunch in Feb 2007

Framework

Policy
Accountabilities
Flight Safety
Programme
Accident &
Incident
Prevention
Programme
Risk Management
Programme
Emergency
Response
Programme
Audits and
inspections
Safety goals

Manuals
Structure
Scheduled SMS
Training Program
Flight Data
Analysis / IFDAT /
Safety Forums
Risk Matrix / Risk
Register
Emergency
Response Plans/
Special
Assistance Teams
Audits process /
programs/
sharing
Safety
dashboards

DCA-SMS

Safety Action
Plans
Safety
Dashboards
Safety Meetings
Safety Reviews
Safety Coms log
Safety
Investigators
Safety Auditors
Safety drills
Board Safety
Reports
Management
Safety Reports
Staff Safety
Reports
Practice Drills

Why are we doing it?


To build a sustainable safety culture in MAS
Develop predictive safety management capability
Visible Safety Values driven from top
Clear safety accountabilities in place
Effective safety oversight structure
Safety action plans corporate wide
Safety Dashboards in place
Open Reporting institutionalized
Systems supported safety trends monitoring
Safety reviews
Safety Reporting

DCA-SMS

Corporate Safety Security Health Environment


(CSSHE) Direct Reports and Oversight Linkages
Accountable Manager
Idris Jala

BSSC

GM CSSHE
Capt. Dr. Ooi Teong Siew

Head of Security
Jeff Nor Jettey

AGM CSI
Capt Karim Mutalib

AGM OCC
Syed Othman

S. Mgr Grp IT
Nazri

Legend

AGM CSQ
Rasul Razak

SM Airport Ops
Zamri Muslimin

DCA-SMS

SM MASKargo
Ibrahim Salleh

Firefly
Capt Wong KY

Mgr OSD
Ahmad Kamal

SM Med Centre
Dr. Daljit Parmar

AGM Flt Ops (FS)


Capt. Missman

Oversight Linkages

CSI - Corporate Safety Investigation


CSQ - Corporate Safety Quality
OSD - Occupational Safety Dept
EMC - Emergency Management Centre
OCC - Operations Control Centre
EM - Engineering & Maintenance

Senior Mgr EMC


Mohd Fuad Sharuji

Mgr Biz Support


Zamani Harun

AGM E&M
Mohan S

GM Commercial
Germal Singh

Mgr Environment
Mustafa Ishak

Mgr IFS
Mdm Choong

MASWings
Capt Valentine

Safety Reporting Framework

Highlights

DCA-SMS

Key dashboard improvements


and concerns.
Key project completion or delays

Safety Dashboards

Level 1, 2 & 3 dashboards


KPIs versus current measures

Safety Action Plans

Strategies, actions, KPIs, priorities


Status reports & current measures

Safety Dashboard Framework

Level 1
Safety Critical

DCA-SMS

7 Safety Critical Measures that


define the health of the safety
system

Level 2
Safety Oversight

79 Safety Oversight Measures that


define the effectiveness of oversight
functions

Level 3
Domains & Subsidiaries

266 Domain & Subsidiary Measures


that define line safety system
effectiveness

Tier 1 KPI (Safety Critical) / Tier 2 KPI


(Safety Oversight)
These KPI have been identified as the high level key measures of SSHE
performance across the Company. It provides targets and current
measurements and the traffic lights are decided as follows:
On or better than Target
Deviate Target by up to 30%
Deviate Target by greater than 30%

DCA-SMS

Proposed High Level Overview Report


Tier I KPI

Tier 2 KPI

Tier 3 KPI
Tier 1 Insights

Oversight
Accidents
Open Reports
Safety
Occurrence
Lost Time
Injury
Security
Occurrence
Engineering
DCA Non
Compliance

CSI (2)
CSQ(4)
CSIS(3)
FOQA(2)
OSD(4)
SEC(2)
INFO SEC(4)
ENV(4)
EMC(6)

Domains

19%
13%
45%
23%

IN

11%
11%
57%
21%

K
R
O
W
30%
Subsidiaries
FO / IFO (13)
E&M(9)
AO(6)

FY(8)
MW(6)
MKargo(6)

DCA-SMS
Total 7 KPI

Oversight

Total979 KPI

10%
40%
20%

CSI (12)
CSQ(12)
CSIS(12)
FOQA(7)
OSD(12)
SEC(9)
INFO SEC(16)
ENV(11)
EMC(15)

R
G
O
R
P

Serious incidents
contributed to up tick
in safety occurrence

S
S
E

Domains

FO / IFO (43)
E&M(39)
AO(17)

Tier 2 Insights

Training issues eg
availability of training
program, lack of
qualified safety
auditors /
investigations, use of
systems (CSIS)
contributed to the
high % of reds

Investigation /audit
close outs is the next
highest cause for the
high reds
Tier 3 Insights

Subsidiaries

Needs prioritization
of resources to close
out open items

FY(29)
MW(15)
MKargo(17)

Discipline of action
to deliver to the set
targets will be
required

Total 266 KPI

Upskilling of team

SAP / Dashboards Targets/Lifecycle


Renewed 09
Targets
January 09
December 08

October 08

July 08

42
15

Starting Up

20
23
yyy

ccc
xxx

aaa

DCA-SMS

bbb

10

Accident Cliff

Open Reporting
Chairman issued Open Reporting Policy Company wide
Open Reporting has increased
significantly every year
Reporting system is a key
component for success
Data analysis a prerequisite for
insights
Share, share, share.

DCA-SMS

11

Tier One KPI


N
o.

KPI

Air Accidents

# of Open Reports

Safety Occurences

Target

Actual

2500

1624

Measurement

Status
Indicato
r

Remarks

# of hull loss accident

NIL hull loss accident

# of safety report
received in MAS (YTD)

Approx 12% more than


target YTD

Air Occurrences
Air Safety Reports (ASR)
ASR High Impact Occurrences

> 59

55

< 6.12

10.9

> 57

127.6

Aircraft Ground Accidents (AGA)

<2.5

1.68

Apron Accident (AA)

<1.9

Industrial Accident (IA)

<0.2

Cabin Occurrences reports

A
# of occurrence /
10,000 flight cycle

m
a
Ex

Ground Occurrences

3.37

# of occurrence /
10,000 flight cycles

1.11

/1,000 employees

# of cases (YTD)

Lost Time Injury (LTI)


DOSH Reportable LTI (>=4 days)

DCA-SMS

<6

12

e
l
p

y
l
n

Cummulative average

Cummulative average

FOQA Analysis is an Important Predictive Tool

DCA-SMS

13

Emergency Management Centre Status

The target of 910 SAT volunteers is currently 50% short of the required numbers. In
particular the trained TECs is only 10% of the required number. This is being
addressed by a recruitment and training program that will be delivered over the coming
12 months.

It was identified through the code share audit program (conducted by CSQ) that there
are a number of inconsistencies with regard to the emergency response content
in Code Share Partner Agreements. EMC will liaise with International Affairs to
address these gaps

m
a
Ex

e
l
p

y
l
n

68 of the 74 MAS stations have received an ERP briefing. Only 68 stations have
submitted their station ERP; which is below target.

EMC is working with Aviem International to ensure actual capability of contracted


services in event of accidents abroad.

Presently only 2 mutual assistance agreements have been established with MAS code
share partners. The target is to establish 7 of these agreements before December
2008

DCA-SMS

14

SMS Workshop

DCA-SMS

15

Safety Reporting To Management /


Board

Board

Accountable
Managers Meetings

Safety Council
Meetings

DCA-SMS

16

Key dashboards
Key project completion or delays
Chaired by Board Member
Monthly at BoD
Quarterly at BSSC

Level 1, 2 & 3 dashboards


KPIs versus current measures
Chaired by MD
Quarterly
Chaired by NPH
Line Management issues and risks
Monthly

End of Presentation
Q&A

DCA-SMS

17