AVIATION SAFETY COUNCIL MEETING OF 25 AUGUST 2010 25/08/2010ASCM by RASO - WA 1.

OPERATIONAL RISK MANAGEMENT.AN HELICOPTER ON DOMESTIC FLIGHT (SPA TO BARCLAYVILLE)

AVIATION SAFETY COUNCIL MEETING OF 25 AUGUST 2010

25/08/2010ASCM by RASO - WA

1

BACKGROUND TO UN DFS / DPKO AVIATION OPERATION RISK MANAGEMENT

In complying with the United Nations, DPKO and DFS Policy Directive on Aviation Operational Risk Management (ORM), dated 10 April 2008. explains the procedures to be followed in UNMIL everyday aviation activity before any flight can be executed.

DPKO and DFS Aviation Operational Risk Management (Implementing Guidelines).

DMS UNMIL ORM Implementing Road Map


2

OPERATIONAL RISK MANAGEMENT: WHAT IS IT?

A systematic process of identifying and assessing hazards in terms of risk, then implementing actions to control that risk to an acceptable level and monitoring the controls for effectiveness.


3

ORM SIX STEPS

The six steps in implementing Operational Risk Management (ORM), also known as Risk Management Process is:

Step 1: Hazard Identification. Step 2: Risk Assessment. Step 3: Analyse Risk Control Options. Step 4: Choose Risk Control Measures. Step 5: Implement Risk Control Step 6: Supervise and Review.


4

OPERATIONAL RISK MANAGEMENT PROCESS


5


6

HARZARDS: WHAT ARE AVIATION HARZARDS?

Any real or potential conditions that can cause

injury, illness, or death to personnel, damage to

or loss of a system, equipment, or property, or

damage to the environment.


7

RISKS: WHAT ARE AVIATION RISKS?

An expression of an impact and possibility of an accident in terms of potential mishaps severity and probability of occurrence


8

WHAT IS RISK SEVERITY?

We define risk severity in terms of effects for: Property damage Finance losses Liability inflicted People injured or killed Environment damage or degradation Image damage Public confidence erroded


9

WHERE DO AVIATION HAZARDS AND RISKS COME FROM?


10

MACHINE (AIRCRAFT)

When assessing your aircraft, determine:

its airworthiness its weight and centre-of-gravity; its performance under the anticipated conditions; its fuel load and fuel requirements; Maintenance : if it has adequate, functional

equipment.


11

MEDIA (ENVIRONMENT)

Meteorological Conditions: Local Weather patterns, Temperature, Humidity, Ceiling, Wind, Precipitation, Thunderstorm, Rainstorm, Reduced visibility;

Determine how the weather affects your flight route & duration? Take action to avoid poor weather conditions.

Operational : Maps and Charts, Terrain, Wildlife, Vegetation, Obstacles and Natural Lighting conditions.

Hygiene: Aircraft Ventilation, Air quality, Noise, Dust, Other air contaminants.

Destination airfield / helipad surface conditions : Paved surface, Gravel surface, Mud, Dust, and hills.

Communication : Know the area radio frequencies and monitor other aircraft communication in the area


12

MAN

Selected Personnel : Right person, Trained and Professional.

Performance : Awareness, Perception, Distractions, Stress, Peer pressure, Adaptive skills pressure, workload, Fatigue.

Personal Factors : Expectations, Job satisfaction, Family pressure, and Personal Discipline, and Organizational culture.


13

MANAGEMENT

Policy and Objectives Standards : Doctrine statements,

Criteria, Procedures : Regulations, SOPs,

Checklists Controls : Operating limits, Rest,

Restrictions, Training, and Rules Decision Making : Who, What,

When, Where, What level, and Communication.


14

MISSION

UNITED NATIONS SECURITY COUNCIL RESOLUTION # 1509 OF 23/09/2003

Policy : Clear and not ambiguous Objectives : Well understood,

Complex, Well defined, and easily obtainable

How do Policy and Objective interact with the other 4Ms (Machine, Man, Management, and Media) ?


15

ORM SIX STEPS

EXPLANATION TO

THE SIX STEPS

ORM PROCESS


16

STEP 1


STEP 2


STEP 3


STEP 4


STEP 5


STEP 6


ItemNr

Item / Phase(Activity)

Hazards Risk Control Measures ImplementationPlan

Residual Risk

Acceptable DecisionResponsibility

1 Day CASEVAC (Hostile -UAU)Day /Night CASEVAC (Hostile -UTAIR)

*Rebels/Insurgents* Weather* Area Security* Aircraft Type and equipment* Human factors: * Crew qualified, * Crew fatigue*Flow of Communication* Media Coverage for image protection

* Aircraft crash due to SAM and or rebel fire* A/C returning back to base due to bad weather* A/C & Crew hostages by rebels upon landing * Aircrew being hit by rebel fire prior to landing/ take off*Patient dies before aircraft reach destination

* Send Gunship as cover for MI8 * Ensure accurate weather info* Send ground troops security prior to arrival of MI8* Provide security escorts onboard MI8* Ensure aircrew task is qualified to fly the mission

*Develop a coordinating FRAGO /Impl plan incorporating all tasking, requirements of all involved (Force Air Ops, Aviation, Security,JOC,MOVCON, JLOC etc) & send to all concerned for implementation

*DMS*CAVO*FC*UNPOL Comm*AOC


23

ItemNr

Item / Phase(Activity)

Hazards Risk Control Measures ImplementationPlan

Residual Risk

Acceptable

DecisionResponsibility

2 Helipad Recce, Aerial Reconnaissance, Air , Foot Patrols, Rapid Response, Deployment , Reinforcements

*Area Security* Weather * topography of the area*Helipad condition*Obstacles surrounding helipad*Flow of Communication* Human factors* Media coverage for image protection* Third party damage or injuries

* Aircraft can be fired at by rebels* Heli don’t reach destination due to route weather*Heli cannot land due to bad helipad condition* Heli crash due to technical problem / unforeseen obstacles*Patrolling troops hostage , wounded or killed due to encounter with rebels/insurgents* Persons on ground injured or property destroyed

* Send Gunship as cover for MI8 * Ensure accurate weather info* Send ground troops security prior to arrival of MI8* Provide security escorts on board MI8* Ensure aircrew task is qualified to fly the mission *Aircraft to follow strict maintenance procedures

*Develop a coordinating FRAGO /Impl plan incorporating all tasking, requirements of all involved (Force Air Ops, Aviation, Security,JOC,MOVCON, JLOC etc) & send to all concerned

for implementation

*CAVO*AOC*FC


24


25


26


27


28

Hazard Potential Causes Potential Effects Risk Category Control Measures

1 Assigned Task (Organizational and mission statement) Fulfilling the mission statement creates confusion, anxiety

and fear among operating personnelPanic and erratic behavior among operational personnel leading to incidents or accidents 5 B

Improve Task Design, Train & Educate, Motivate

2Management effectiveness in timely decision making, and resources allocation. Undesirable work habits and work behaviors and an

unacceptable culture and work practices.

Less effective team work, work performance, and lack of dedication leading to cutting corners in following regulations and SOPs

5 C Train & Educate, Motivate and Selection of Personnel

3 Aircraft performances and other operational challenges.

Unproductive competitions among operators of different aircraft (flight crew and mechanics) leading to unsafe practices

Less effective utilization of specific aircraft and over use of others leading to fatigue and stress that affect effective operations.

5 DImprove Task Design, Limit exposure to

adverse conditions, Detailed briefings and Motivate.

4.

Adverse weather (heavy rains, thunderstorms , and restricted visibility)VMC operations always.

Panic among flight crew leading to confusion and loss of reference in VMC , (Visual Flight Rules (VFR)

Less effective and timely decision making leading to less effective execution of precautionary actions. 4 A

Briefings, Train & Educate, Demonstration of effects and Limit exposures

5 Inadequate aviation infrastructures, no basic navigational aids and poorly maintained airfields and helipads.

Flying crew creating practices and procedures to accomplish an aviation activity in contravention of SOPs, rules and regulations in remote areas .

Development of unsafe cultures, practices and misuse of air assets (aircraft) causing degradation of assets and their components.

3 CImprove Task Design, Train & Educate, Warn,

Briefings, Motivate, Back-ups redundancy, and Mission operational capabilities.


29

-File Flight Plan SPA to Barclayville.-Weather Briefing-Pre-flight checks-Loading (fuel, pox, cargo)-Departure briefing.

-Obtain taxi clearance-Taxi to holding position and request take-off clearance-Take-off and set course on planned route

-Continue climb and cruise.-Change radio frequency to 118.5 Mhz- UN 162 to divert to Zwedu due to poor weather.- VMC to IMC

-Weather en-route detonating fast- VM C weather to IMC weather

-UN 162 diverted to fly to Zwedu-Maintain listening watch on 118.5 Mhz.- Check fuel available and found three hours endurance.

-UN 162 has diverted to Zwedru- Weather at Zwedru i

-UN 162 diverted to Zwedru and tried contacting the ALO on 118.5 Mhz.- No response-UN 162 contacted Air Operations Centre on HT frequency 8864 Khz- Air Ops Centre grants diversion to Zwedru.

-UN 162 approaches Zwedru.- No radio contact with ALO on 118.5 Mhz

-UN 162 approaches but the weather is deteorating again.

UN 162 decides to land at Zwedru

-UN 162 flies overhead to observe conditions on Zwedru runway.-UN 162 approaches, and lands on the helipad within the apron area.

-UN 162, parks, shut-down, off-load passengers as transit pox.-Awaits for weather in Barclayville to improve.- UN 162 wait for Air Ops Centre for weather update for Barclayville

UN 162 Tasked to Fly Passengers and Cargo from Spriggs Payne Airfield (SPA) to Barclaysville on 25/08/2010, departing SPA at 0945 Hrs

| | |

----- --

!

-------------

!

-------- --------

!

---------

12 3

456

78 9

101112


30

Risk Probability

Risk Severity

Catastrophic

A

Hazardous

B

Major

C

Minor

D

Negligible

E

Frequent 5 5 B 5 C 5 D

Occasional 4 4 A

Remote 3 3 C

Improbable 2

Extremely

Improbable 1 1 C 1 E


31

ACTIVITY ACCEPTABLE OR REQUIRES RISK CONTROL MEASURES ?

See below !!!


32


33

CONCLUSION

All human activities involving a technical device or processes entail elements of risks.

Do not panic at hazards, there are ways of controlling them. Weigh risks and hazards based on knowledge, experience, and

mission requirement. Encourage others to follow similar risk/hazards management

principles. Hazard analysis and risk assessment do not free us from good

judgment, they improve it. It is more important to set clear objectives and parameters for

risk assessment than to find a “cookbook” approach and procedures.

There are no “safety problems” in the planning and design. There are only management problems that, if left unresolved, may cause mishaps or accidents.


34

QUESTIONS

??????????????????????????????????????


35

Date post:	16-Jan-2016
Category:	Documents
Upload:	oscar-summers
View:	213 times
Download:	0 times

AVIATION SAFETY COUNCIL MEETING OF 25 AUGUST 2010 25/08/2010ASCM by RASO - WA 1.

Documents