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James Reason
”Harvard Business Review on Change”
”Guidance on assistance to aircraft accident
victims and their families”, ICAO circular
”Flight operations monitoring handbook”, Airbus
”Air Safety Manual”, British Airways
”Operator’s Flight Safety Handbook”, Flight
Safety Foundation
Business Intelligence
”Safety Management Systems. An Operator’s Guide”, Civil
Aviation Safety Authority Australia
”Operations Policy Manual. Guide for a JAR-OPS 1
Operations Manual-Part A”, Airbus
”Airbus Operational Expertise. Getting to grips with…
Operations Policy Manual. Flight deck and systems
briefing for pilots”, Airbus
”Accident/Incident Investigation Guidelines”, Airbus
”Global Aviation Information Network (GAIN), 6th World
Conference”
”Commercial Aviation Safety Team (CAST)”
Flight Safety and QA
Objectives
Improve organisational, systemic
and operational safety resulting
from recommendations from the
GF072 Accident Report
Safety Management System
Components
PCE Policy - Commitment to Corporate Safety Culture
Non Reprisal policy (but deliberate violations not
tolerated)
Solid Organisation Structure
Adequate Resources/Funding
Air Safety & Hazard Reporting System (BASIS)
incorporating Mandatory Occurrence Reporting
(MOR)
Confidential Reporting System -de-identified
LOSA / LOAS / LOQA -Line Operations Quality
Assurance –Proactive Approach to SMS
Safety Management System
Components (cont)
Flight Operations Quality Assurance (FOQA)Program
(Spirent)
Flight Data Analysis Programme (FDAP) (FOM)
Flight Safety Group /Committee – meets every 2
months
International Safety Information Exchange (IATA
STEADES/iSAFI) De-identified Info Exchange
Participation in IATA SWAP & Safety Info Exchange
with Airbus, Boeing
Safety Information Dissemination-Feedback to
crews
Flight Safety Survey
Emergency Response Plan / Contingency Plan
IATA Operational Safety Audit (IOSA)
Risk Management Process & Trend Analysis
Risk Analysis Tools RAT
Measurement
Safety Management System
Components (cont)
ORGANIZATION CHART Date Prep:ared
Prepar:ed by
16 Oct 2003
FLIGHT SAFETY AND QUALITY ASSURANCE
Senior Secretary
G09A x1
Flight Safety &
Quality Assurance
Coordinator
G11A x1
Airside Safety Officer
G10A x1
Flight Safety Officer *
G11A x4
Flight Data Manager
G11A x1
Cabin Safety Officer
G10A x2
Safety Management System
Analyst
G11A x1
Manager
Flight Safety
G12A x1
Emergency
Planning Manager
G12A x1
Flight Operations
Quality Auditor *
G11A x2
Manager
Flight Operations
Quality Assurance
G12A x1
Ground Operations
Quality Auditor *
G11A x2
Manager
Ground Ops
Quality Assurance
G12A x1
Cabin Crew
Quality Auditor *
G09A x2
Manager
Cabin Crew
Quality Assurance
G12A x1
Head of Flight Safety
& Quality Assurance
Notes:
1) * Pilots / Flight Attendants on shift
roster to fill these positions
2) The grades are subject to Job
Evaluation upon submission of Job
Descriptions.
FS&QA Staff Strength
Flight Safety & Quality Assurance Staff:
Full Time: 14
Consultant: 1
Vacancies 1
Flight Safety Officers 4
Quality Assurance Auditors:
Pilots: 18
Cabin Crew: 13
Ground Ops staff: 11
Consultants: 6
Total Auditors: 48!!
Actively seek Gaps in
Safety System
Messengers are trained
and rewarded
Responsibility is shared
Failures lead to farreaching
reforms
New ideas are welcomed
Change the Corporate Safety Culture from
Reactive to Proactive Culture
Support and Commitment from the top-
GF Corporate Safety Culture Commitment
Highlights
Each member of staff:
 will be expected to accept responsibility and
accountability for our own behaviour
 will have the chance to participate in the
development of safety standards and procedures
 will openly communicate information about safety
incidents and share the lessons with others
 will be concerned for the safety of others in our
organisation.
Introduced Non Reprisal Policy
(encourage open reporting)
　
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