Incident Reporter™ - Incident Reporter SMS Database
Contents
1. Cea 6 VALUE LIS 7 DIR DATS ENTRY a 8 Ps INCE a 8 B RECORD STATUS SUMMARY 5 8 9 OP 9 D INVESTIGATION 10 E RISK ANALYSIS 11 F CORRECTIVE 12 G RISK CONTROLS CORRECTIVE 14 ERREUR 15 LESSONS LEARNED 16 J IMACES TAB a 17 REPORTS EEE EE 18 A SRM PROCESS 0 2 18 B SAFETY RISK PROFILE 192. E E 20 8 TREND ANALYSIS AND COST 5 21 e crc tse era ene 21 B GRAPHS PIE AND BAR 5 0 40000000000 22 OTATISHCALGONTHOL GHAR 22 gt gt 22 ee ea eee 23 9 ADDITIONAL RESOURCES ii vvicicwiecsciicenecaccentecondontvtanitandowesiveucwuscteadedandwiticwutiewdusnuecewduciueietudbactieutouvabionnounudeeeudundeuteuesaus 23 10 FREQUENTLY ASKED 5 5 24 WHY SHOULD CHOOSE INCIDENT REPORTER AS MY SMS RISK MANAGEMENT 24 IS THERE A TRIAL VERSION OF IRV2 52 8 8 24 HOW MUCH DOES INCIDENT REPORTER COST 2 5 88888 24 HOW IS THE SUPPORT WHAT ELSE IS INCLUDED Y eene a aseseve at esa tebb e eo ose Essa a Sube sPse tat es Eso nov aDres 24 WHAT ABOUT TECH 5 00000000 as
3. HND SRMREPORT PERSONNEL Sa MANAGERS ADMIN ONLY IR DATA ENTRY _ RECORD STATUS COST COST REPORTS DATA MINING sons Leamed investigation Root Causes Risk Analysis Corrective Action Pian INVESTIGATOR S TITLE DEPARTMENT 2 LEap t ieredPuser 7 A Manager Maintenance SS EEE INVESTIGATION NOTES Dispatch board checked Jan 13 2008 Ne1e2G Autopilot deferral was recorded Jim s investigation notes Don This does not address why an aircratt was released with an overdue deferral Greg this incident is QA issues and should be addressed through the QA process 5 such assigning it to zi INVESTIGATION DUE DATE Jan 17 2009 DAYS LEFT PASTDUE COMPLETED Jan 22 2009 Ee ROOT CAUSE S Deferral was not entered on dispatch deferral board Next due was not updated on Orange Deferral placard infront A of logbook W REPORTER INFORMATION SUGGESTION S FOR CORRECTION 10144 Browse lAa o O O d Throughout IRv2 reference tutorials provide written guidance to users for proper accomplishment of the various al File Edit View Insert Format Records Scripts Window Upgrade Help EXPLANATION OF CAUSES DETERMINING ROOT CAUSE S SIMPLIFIED EXAMPLE OF ROOT CAUSE risk management processes All out
4. FileMaker Pro Online reporting is accessible to your employees through supported web browsers from anywhere in the world These reports populate the database and generate auto email notifications to managers of reports received Links within these emails permit managers to immediately access these reports via web browser from an iPhone BlackBerry or other PDA if desired and assign investigation responsibilities to appropriate department or base managers Managers also use their FileMaker Pro client server applications to assign login names edit Value Lists perform data entry and command IR s powerful data mining trend reporting and data export capabilities including full integration with Microsoft Office For more information see the document How to Integrate FileMaker Pro with Microsoft Office A DATABASE HOSTING OAG employs the same state of the art co location facilities used by financial institutions to ensure your sensitive safety data is secure and delivered at 99 9696 uptime reliability Housed in a climate and humidity controlled fingerprint secure cleanroom with multiple internet pipelines and backup generators our servers have redundant power supplies multiple redundant drives firewalled with intrusion detection protection and access logs at the user level All communications with your IR database both via web browser and the FM Pro client application use SSL Secure Socket Layer protocol to ensure the highest
5. Program controls prohibit administrators from locking a cap until all investigation risk analysis and Corrective Action Plan data is entered Residual risk must also be assessed and the name and title of the person accepting the CAP must be entered CAP LOCK further serves as its own control To preserve the integrity of all data recorded as a result of investigation risk assessment and Corrective Action Plan development processes assure the person accepting the CAP such as a senior accountable executive or regulator that the plan will be followed as presented O 2007 2009 www omniairgroup com Revision 05 Incident Reporter 2 Pg 12 Date 20 Dec 2009 IMPORTANT Controlled page If this page is copied or reproduced for use outside this document its currency will expire 14 calendar days from enter date copied OMNI AIR GROUP SAFETY MANAGEMENT SYSTEMS Aviation Systems amp Services Incident Reporter v2 Corrective Action Plan development assessment of substitute risks assessment of residual risk and CAP acceptance by the appropriate risk decision authority are not complex processes but unless managers receive adequate training and have ready access to written guidance process outputs may lack quality File Edit view Insert Format Records Scripts Window CORRECTIVE ACTION PLAN OPTIONS AND CON Again users are assisted in their development of a quality Corrective Action Plan with the help of
6. 32 Yip Karen Weather Icing Conditions Visibility 1 Mile ACM OPERATIONAL PROCESS Maintenance EQUIPMENT INVOLVED Tail Registration Equipment Type Manufacturer Model Serial ATA Code 23 N808FX Aircraft ATR 42 02341007 3230 Landing Gear Retract Ext System EVENT OR HAZARD SUMMARY Unsafe gear indication resulted in air tumback DETAILED DESCRIPTION OF EVENT HAZARD Departed R33 YKM taking to GEG Upon retracting the gear the gear unsafe light illuminated Tried recycling the gear same problem and returned to YKM for maintenance to check Landed without occurrence Contacted dispatch and was released to take N388F X to GEG WAS IMMEDIATE ACTION TAKEN TO MITIGATE RISK Yes IMMEDIATE ACTION S TAKEN Recycled gear returned for landing IS FURTHER ACTION REQUIRED TO MITIGATE RISK INVESTIGATOR S TITLE CO Brent Fenster Maint Planning Maintenance RECORD IS STILL OPEN Printed 11 Oct 2008 2007 2009 www omniairgroup com Revision 05 Incident Reporter v2 Pg 18 Date 20 Dec 2009 IMPORTANT Controlled page If this page is copied or reproduced for use outside this document its currency will expire 14 calendar days from enter date copied OMNI AIR GROUP SAFETY MANAGEMENT SYSTEMS Aviation Systems amp Services Incident Reporter v2 B SAFETY RISK PROFILE REPORT The Safety Risk Profile Report m
7. Date Recaro Cost Amount Notes Aircraft Repair Outsourcing 2 75 aad EC Browse ES For Help Sep 17 2008 RIMEODDOD 350 00 Re Invoice 28959 for avionics shop to perform in sitv tests or press 4 Aug 04 2008 RMEODDOD 320 00 Invoice amp amp RDOT314 from AMS for C 208 wing repair 670 00 GRAND TOTAL 670 00 BUM O 2007 2009 www omniairgroup com Revision 05 Incident Reporter 2 Pg 22 Date 20 Dec 2009 IMPORTANT Controlled page If this page is copied or reproduced for use outside this document its currency will expire 14 calendar days from enter date copied OMNI AIR GROUP SAFETY MANAGEMENT SYSTEMS Aviation Systems amp Services Incident Reporter v2 COST DATA ENTRY Costs associated with a safety related event are entered in the Cost Data Entry screen Management may assign user access to one or more persons in accounting in order to enter cost data associated with incidents or other events Jo incident Reporter v2 0 Cost types are tailored to each Edt view Insert Format Records Scripts Window Upgrade Help company s accounting system with the EN same user customized value lists IR Dara 4 ITI ECCL provided for IR Data entry s
8. File Edit View Insert Format Records Window Scripts Help l x IR DATA ENTRY main PERSONNEL EQUIPMENT MANAGERS ADMIN ONLY DATA ENTRY RECORD STATUS COST DATA COST REPORTS DATA MINING incident mvestigaton Causes Corrective Acton Plan RCCA Lessons ceamed mages TYPE OF EVENT Flight Interruption DATE OF EVENT Oct 01 2009 RECORD 8990258081 CLASS OF EVENT Quaity TIME 24H UTC OPENED Oct 03 2009 AIRPORT Turcanik mission LOCATION sic wrgnJames FLIGHT PAX WEATHER Icing Conditions F A vipkaren 7 FLIGHTRULES VISIBILITY ACM N A FLIGHT PHASE REPORTING SOURCE Employee via ERS Online Report ACKNOWLEDGMENT on Oct 03 2009 E OPERATIONAL PROCESS Maintenance QC EQUIPMENT TYPE TAIL REG or FLEET MANUFACTURER MODEL SERIAL ATA CODE wa rs ee TIL EL EVENT OR HAZARD SUMMARY Departed R33 YKM taking N908F to GEG Upon retracting the gear the gear unsafe light illuminated Tried recycling the gear same problem and returned to YKM for maintenance to check Landed without occurrence Contacted dispatch and was released to take N366Fx to GEG PSALERNO HAS LOGGED ON 100 sd uP Browse Ei This is the first of nine tabs intuitively arranged from left to right in the order of data
9. RICAS images RISK CONTROLS CORRECTIVE ACTIONS DESCRIPTION OF RC CA AND PRIORITY 2 inform pilots to remind passengers to aware of the spar step THIS RC CA ASSIGNED TO Robert McCauley TITLE DEPT VENDOR RC CA DETAILS Standards Officer Safety Crew in question sent an e mail J 31 crews notified by Ascent memo DUE DATE Jan 16 2009 DAYS LEFT PAST DUE compLeTe on J DESCRIPTION OF RC CA AND PRIORITY 2 Maintenance Job card created to inspect and correct any visibility iesnas witi spar covers Brent Fenster TITLE DEPT VENDOR DETAILS Maint Planning Maintenance Maintenance repaired spar cover painted and refinished spar cover with high visibility tape DUE DATE Jan 16 2008 6 2009 DAYS LEFT PAST DUE COMPLETED ON 20 2009 el Mm 2007 2009 www omniairgroup com Revision 05 Incident Reporter v2 Pg 14 Date 20 Dec 2009 IMPORTANT Controlled page If this page is copied or reproduced for use outside this document its currency will expire 14 calendar days from enter date copied OMNI AIR GROUP SAFETY MANAGEMENT SYSTEMS Aviation Systems amp Services Incident Reporter v2 H FOLLOW UPS TAB On this tab responsibilities for monitoring of risk controls are assigned IRv2 permits users to record as many risk controls and corrective actions as are necessary to effectively mitigate risk All RC CAs in blue
10. access Purolator via ground side vs air side Airport Authority to establish access has not been completed INDIVIDUAL RISK CONTROLS CORRECTIVE ACTIONS RC CAs Wayne McCloskey fo implement ramp marshaling procedures with his staf to monitor the vehicle comdor to aircraft movement Priority Level 1 Details Make sure staff are aware of new procedures to ensure road traffic is clear prior to aircraft departures Lloyd Epstein fo advise Airport Authonty and ask about gate access for couriers Priority Level 2 Printed Nov 12 2008 000120 Page 1 of 2 2007 2009 www omniairgroup com Revision 05 Incident Reporter 2 Pg 20 Date 20 Dec 2009 IMPORTANT Controlled page If this page is copied or reproduced for use outside this document its currency will expire 14 calendar days from enter date copied OMNI AIR GROUP SAFETY MANAGEMENT SYSTEMS Aviation Systems amp Services Incident Reporter v2 8 TREND ANALYSIS AND COST REPORTS Clicking on Data Mining from the main screen takes users to the Data Mining screen FileMaker Pro IR Operators Demo OAGHOST 81 x y File Edit View Insert Format Records Window Scripts Help 8 x DATA MINING ALL CLOSED ALL OPEN SHOWALL FIND CONSTRAIN PERSONNEL EQUIPMENT MANAGERS ADMIN ONLY IRDATAENTRY RECORD STATUS COST DATA COST REPORTS DATA MINING EVENT DATA RISK ANALYSIS RISK CONTROLS ACTIONS OF EVEN
11. and corrective actians should address risk factors by eliminating them cor by reducing their Impact contribiuling 1 amp may afect exposure Te the hazard the severity of potential consequences and the likeli of the consegne ED 2007 2009 www omniairgroup com Revision 05 Incident Reporter v2 Pg 11 Date 20 Dec 2009 IMPORTANT Controlled page If this page is copied or reproduced for use outside this document its currency will expire 14 calendar days from enter date copied OMNI AIR GROUP SAFETY MANAGEMENT SYSTEMS Aviation Systems amp Services Incident Reporter v2 F CORRECTIVE ACTION PLAN TAB Responsibility for development of a Corrective Action Plan or CAP with assignment of due date is recorded here Appropriate managers may work individually or jointly on CAP development The program permits multi targeted CAPs for several departments or for a global risk control or corrective action to be applied to all stations your company serves In addition Any substitute risks introduced by the CAP are recorded Risk controls to mitigate substitute risks are developed and documented An assessment of residual risk after CAP implementation is made gt The CAP and residual risk are accepted by the appropriate risk decision authority FileMaker Pro IR Operators Demo OAGHOST y File Edit View Insert Format Records Window Scripts Help IR DATA ENTRY a MAIN PERSONNEL EQUIPMEN
12. and risk analysis is performed Corrective Action Plans CAPs are developed and tasks assigned to appropriate managers with target dates for the completion of each risk control or corrective action Monitoring the implementation of these risk controls and corrective actions helps to ensure their effectiveness and follow up audits confirm satisfactory results O 2007 2009 www omniairgroup com Revision 05 Incident Reporter v2 Pg 3 Date 20 Dec 2009 IMPORTANT Controlled page If this page is copied or reproduced for use outside this document its currency will expire 14 calendar days from enter date copied OMNI GROUP SAFETY MANAGEMENT SYSTEMS Aviation Systems amp Services Incident Reporter v2 Lessons learned from managing each event are then communicated to personnel and industry further enhancing organizational safety All of these activities are documented and tracked in the IR database Upon completion of the process records are closed and locked to preserve their integrity Controls built into the program prevent the closing of a record until all associated tasks have been accomplished and follow up audit results are satisfactory 2 INCIDENT REPORTER LICENSING AND ACCESS Incident Reporter is licensed for use on a subscription basis by aviation enterprises as end users It is a hybrid system in that it is accessible from supported web browsers as well as a secure client server application
13. is included IRv2 connects to a full color online User Manual also available for download from omniairgroup com Lifetime support and upgrades are included at no additional cost Online training included teaches your people fast and effective use of the program Continued telephone and email support is offered for the life of all IR products Omni Air Group also offers professionally developed SMS Manuals and online SMS training for personnel and managers Call us to find out how we can help you ensure the success of your SMS What about tech support We re responsive If you send an e mail you ll receive a response back within a day call and you ll either receive an answer on the spot or if an answer isn t readily available we ll get one to you as soon as possible usually within one business day We re available by phone from 8 00 am to 4 30 pm pacific time here on the west coast of the United States What s your contact info Susan Tolle Director Sales and Marketing Tel 1 206 949 1470 Susan Tolle omniairgroup com Omni Air Group 6421 South Dorset Road Spokane WA 99224 Telephone 1 509 838 8121 Facsimile 1 509 747 2562 WWW omniairgroup com O 2007 2009 www omniairgroup com Revision 05 Incident Reporter v2 Pg 24 Date 20 Dec 2009 IMPORTANT Controlled page If this page is copied or reproduced for use outside this document its currency will expire 14 calendar days from enter date copied
14. level of security Databases are backed up every 3 hours and full system backups are performed each night and retained for six months Advantages include high levels of physical security intrusion detection protection automated backups on site support and lifetime software upgrades B CLIENT LICENSES The FileMaker Pro client server license permits department managers and administrators to access the full functionality of IR including printing reports and data import export over a secure SSL internet connection The FM Pro application is recommended for each manager who will be managing risk and quality issues within IR and may be purchased from OAG for 150 00 USD per license Managers may also access the database via supported web browser for data entry and task assignment via email from anywhere an internet connection is available This includes access via BlackBerry iPhone or other PDAs O 2007 2009 www omniairgroup com Revision 05 Incident Reporter 2 Pg 4 Date 20 Dec 2009 IMPORTANT Controlled page If this page is copied or reproduced for use outside this document its currency will expire 14 calendar days from enter date copied OMNI AIR GROUP SAFETY MANAGEMENT SYSTEMS Aviation Systems amp Services Incident Reporter v2 3 FEATURES AND EASE OF USE Using Incident Reporter IR is easy Here are just a few of IR s many features Incident Reporter generates automatic emails when a report is rece
15. overall residual risk is that which most effectively allocates resources to reduce the risk and eliminate the hazards This includes the authority necessary to implement for oversee the implementation That substitute risks have been evaluated and risk controls of risk controls and corrective actions which comprise tha proposed to mitigate any substitute risk that is deemed unacceptable Typically a department manager is the appropriate risk decision authority Tor and residual risk acceptance regarding incidents events or safety concerns that are limited to that manager s specific department If however a proposed or necessary control or action falls outside the authority of a department manager the risk decision must be elevated to a higher level G RISK CONTROLS CORRECTIVE ACTIONS TAB Risk controls and corrective actions are automatically broken out of the CAP and populate the RC CAs Tab as separate controls or actions shown in blue text Additional details are then added to each control or action and assignments made to appropriate managers or vendor points of contact for implementation iX FileMaker Pro IR Operators Demo OAGHOST Ioj File Edit View Insert Format Records Window Scripts Help 181 x IR DATA ENTRY mm PERSONNEL EQUIPMENT ADMIN ONLY IR DATA ENTRY RECORD STATUS COSTDATA COST REPORTS DATA MINING Mvestigation Root Causes Corrective Acton Plan
16. source document This screen also documents whether any immediate actions were taken and if so a description of those actions cx FileMaker Pro IR Operators Demo OAGHOST File Edit view Insert Format Records Window Scripts Help IR DATA ENTRY MAIN SRM REPORT PERSONNEL EQUIPMENT MANAGERS ADMIN ONLY IR DATA ENTRY RECORD STATUS COST DATA COST REPORTS DATA MINING DETAILED DESCRIPTION OF EVENT AND HAZARD RMR000333 New Maintenance shift tasked with rectifying some in progress snags To troubleshoot snags engine runs were required Aircraft was all closed up Aircraft brought outside and engine starts carried out Post engine run AME departed aircraft he could hear fuel pouring out of the RH Nacelle There was a huge puddle of fuel on ground Maintenance brought aircraft in hanger and opened RH engine cowling RH engine fuel delivery line found loose with a piece of flagging tape attached There was no information recorded anywhere to inform anyone of the loose line except if one might notice the flagging tape only if cowling were opened Task determined to be the cause of the loosened line check RH aux fuel tank for possible leak JC1103 NP There was a hand written note on the bottom of task Needs to be leak checked No mention of the loosened line found WAS IMMEDIATE ACTION TAKEN TO MITIGATE RISK amp Yes Certain incidents or events such as severe weather phenomena may be beyon
17. text and associated details are again mirrored here for monitoring and follow up Vendors and sub contractors may also be assigned risk controls or corrective actions as is necessary when vendor audit produces unsatisfactory results Provisions are made in IRv2 for recording the vendor s company name and Point of Contact who is often the appropriate person to monitor a risk control that has been assigned to that vendor iX FileMaker Pro IR Operators Demo OAGHOST Ioj x 121 x File Edit View Insert Format Records Window Scripts Help IR DATA ENTRY FIND MAN SRMREPORIT PERSONNEL EQUIPMENT MANAGERS ADMIN ONLY IR DATA ENTRY RECORD STATUS COSTDATA COST REPORTS DATA MINING _ investigaton Root Causes Risk Analysis Correctve Acton Plan ROCAS Fofowaps Lessons teamed MONITORING AND FOLLOW UP AUDITS FOR EACH images DESCRIPTION OF RC CA E Inform pilots to remind ers to be aware of the spar sti e a MONITORING ASSIGNED TO TMLE DEPT VENDOR DETAILS MONITORING DESCRIPTION Crew in question sent an e mail Not required as this is a corrective action and not a risk control J 31 crews notified by Ascent memo FOLLOW UP AUDIT DESCRIPTION FOLLOW UP AUDIT BY TITLE DEPT DUE DATE 02 2009 DAYSLEFT PASTDUE AUDIT PERFORMED Feb 06 2009 E SATISFACTORY ves FOLLOW UP AUDIT NOTES N
18. the worst nubenrne thal could Here users are instru cted to consider RISK ASSESSMENT AND RISK FACTORS contributing risk factors when performing After risk 5 have been developed which include identified hazards and worst consequences thay then anay zar risk assess ment and likelihood When performing this risk analysis levels of exposure severity and likelihood may be affected by varius contr amp ting fac example a hazard is identified as forecast high winds and Might brasnane is being conducted thee likeli af an incidant aecurrir A landing could be high Cantribuling factors might includa wind gusis runway cesuras tha experiance of tes instructor student and Iha 1 Ide ntification of contributi Ng factors aids In landings conducted exposure In another example if a maintenance dapartmant hazard is idantifiad as Suspactad Unapproved Parts could include use of a new supplier high turnover of contract maintenance personnel adeguate recelval inspection procedures accu rate risk assess ment and provides Identification of contributing factors aids in risk assessment and provides specific targets for corrective action Contributing factors are ty specific targets for corrective action Anew employes non standard operation etc or deficiencies in systems process design of perfomance e g missing procedures ca complied with Effective risk controls
19. 22 Master DAGHOST 2 8 3 File Edit View Insert Format Records Window Scripts Help 8 amp x RECORD STATUS SUMMARY ALL CLOSED ALL OPEN SHOWALL FIND CONSTRAIN PERSONNEL EQUIPMENT _ MANAGERS _ ADMIN ONLY R RECORD STATUS COST DATA COST REPORTS DATA MINING DATE INVSTGATION An RECORD OF EVENT TYPE OF EVENT CLASS OF EVENT COMPLETED ACCEPTED BY RMR000014 Cust Service Concern Quality Jun 20 2008 Joyce Kohler 10 17 2008 cust Service Concern Quality Jun 23 2008 Don Condor ps un 22 2008 incident Jul 22 2008 Wayne McCloskey 23 2008 Flight Delay Quality Jun 26 2008 Bob Leeland 10 26 2008 Hazara Safety Ju 16 2008 Jared Poser su 16 2008 20 Jun 26 2008 Accident near Safety un 26 2008 Wayne McCloskey u o2 2008 ua22 2006 Safety ul 09 2008 1 In the Record Status Summary Screen administrators can quickly view the status of each record the database Closed records are displayed in green and open records those requiring action are displayed in red Records displayed in yellow tell database administrators that all risk controls have been completed and that the record is ready to be closed Clicking on a record number takes you directly to that record C DETAILS TAB On the Details Tab a description of the event may be entered or imported from the original reporting
20. A COST REPORTS DATA MINING etas investigation Root Causes Corrective Action Pian RC CAs Followups Lessons Leamed RISK STATEMENT S In flight mechanical problems failures could lead to various emergency situations RISK ASSESSMENT EXPOSURE O Continuously O very Often Often O Hardly Ever Never LIKELIHOOD O Certain Extremely Likely OLikely Unlikely Remote SEVERITY O Catastrophic Critical Major Negligible ADD TO SAFETY RISK PROFILE ves No RISK PRIORITY EA ACTIVITY In flight mechanical failure OBJECTIVE reduce in flight mechanical problems failures GOAL improve aircraft and component reliability MEASUREMENT fewer pilot reports per 100 hrs 100 dud 71 Browse File Edit View Insert Format Records Scripts Window Upgrade Help EXPLANATION OF Risk STATEMENTS RISK STATEMENT DEVELOPMENT This reference tutorial explains how to When developing risk statements examine the potential consequences associated with each idantifiad hazard and davelop a risk staten Potential consequences should address all possible situational factors euch aa weather lighting equipment kncwledge amd experience develop risk statements well es the human errors equipment failures or process breakdowns that could occur if the hazard lefi unaddressed MOTE Consequences should be considered their worst credible stale e g Whara
21. DATA COST REPORTS DATA MINING LOGIN NAMES E MAIL i AND PASSWORDS PREFERENCES VALUE LISTS ACCESS LOG Audit External 3 To view a value list 1 Click the appropriate button in the left hand list CLASS OF EVENT Audit Internal Dept To add a new value 1 Select afield name from the MENU ist ERS Hazard Report So 2 if there are no entries already entered in the VALUE list ERS Irregularity Report double click on the first line and enter a value ERS Online Report if at least one entry already exists in the VALUE list click ERS Report Name the NEW button at the top of the screen then enter a new entry in the top row of the VALUE list Evaluation External 3 Click your mouse anywhere in the light blue area of the Evaluation Internal screen to set the addition the list will automatically re sort alphabetically Event Investigation B 222 1 Double click the existing value and proceed to edit it REPORTED N A 2 Click your mouse anywhere in the light blue area of the System Task Analysis screen to set the change eee To delete an entry from a value list Glickthered square to the right of the value you want to BEND lI 100 dad Browse Irregularities hazards errors quality escapes and other events may be tracked measured and reported under classes such as Safety Security Environmental Protection Occupati
22. IED MMED ACTION EXPOSURE Often ASSIGHED TO Jim hales Y ACTION TAKEN Ramp was informed LIKELIHOOD Unlikely v TITLE DEPT oPRATHLPROCESS SEVERITY Major dV RECIPIENT Chris Goldfinger RRCALC Relative Calculated Risk of 28 Low METHOD MESSAGE Jim please review this RMR with EQUIPMENT INVOLVED DUE DATE Dec 28 2008 COMPLETED DATE Jan 20 2009 CAP ACCEPT Greg Knowlton RecisTRATION MANUFACTURER CAP ACCEPT DATE 02 2008 EQUIPMENT TYPE 100 ad Browse TREND ANALYSIS One of the most powerful features of Incident Reporter v2 is the program parameter such as ability to identify trends by any Airport Location Equipment type Manufacturer Model number Tail number Aircraft System ATA code Type of event Class of event Mission Operational Process we y p Department Vendor Search for a manager s name title or department to identify records in the database that pertain to a specific manager title or department These finds are used during Safety Assurance processes of internal audits and evaluations to identify all risk controls that pertain to a specific department 2007 2009 www omniairgroup com Revision 05 Incident Reporter 2 Pg 21 Date 20 Dec 2009 IMPORTANT Controlled page If this page is copied or reproduced for use outside this document its currency will expire 14 ca
23. ONCONFORMITIES Confirmed issuance of memo 10440 Browse wef 7 0 Follow up audits are performed by the Director of Safety or trained company auditors to ensure that each risk control or corrective action conforms to specified standards and is effective Audit results and notes are recorded here Audit Finding Reports AFRs may also be referenced and attached to an individual record on the Images Tab Note IRv2 contains built in controls that prohibit closing of a record unless all tasks have been completed and all follow up audit results have been recorded as satisfactory 2007 2009 www omniairgroup com Revision 05 Incident Reporter v2 Pg 15 Date 20 Dec 2009 IMPORTANT Controlled page If this page is copied or reproduced for use outside this document its currency will expire 14 calendar days from enter date copied OMNI AIR GROUP SAFETY MANAGEMENT SYSTEMS Aviation Systems amp Services Incident Reporter v2 LESSONS LEARNED TAB On this tab responsibilities for communication of lessons learned are assigned including communication methods recipients and due dates Communication of lessons learned may be part of a Corrective Action Plan to control risk or to share lessons learned with personnel or industry Through this sharing of information your company s risk management efforts may help others in their development of effective risk controls and in preventing an accident FileMaker Pr
24. Operations Quality Assurance reports Continuing Analysis and Surveillance reports Cost estimates or bids Invoices for work performed Insurance claim forms 2007 2009 www omniairgroup com PI 065 Reporter v2 Pg 17 Date 20 Dec 2009 IMPORTANT Controlled page If this page is copied or reproduced for use outside this document its currency will expire 14 calendar days from enter date copied OMNI AIR GROUP SAFETY MANAGEMENT SYSTEMS Aviation Systems amp Services Incident Reporter v2 7 REPORTS A SRM PROCESS REPORT The Safety Risk Management Process Report captures the status of a record at any time during the life of the record through all applied SRM processes and produces a report in pdf format which may be printed and taken to meetings used for internal audit purposes or emailed as an attachment All information pertaining to the associated record is captured by the report The SRM Report automatically updates as information is added to the record Record Number RMROO0368 SRM PROCESS REPORT EVENT Date of Event Oct 01 2009 7 30 UTC Record Opened Oct 03 2009 Flight Interruption Reporting Source Employee Class Quality Airport Reported Via ERS Online Report Location Taxiway Acknowledgement Sent to Originator Oct 03 2009 Mission Charter PIC Turcanik Clint Flight Rules IFR SIC Wright James Flight Phase Cruise Flight 6335
25. Services Incident Reporter v2 10 FREQUENTLY ASKED QUESTIONS Why should choose Incident Reporter as my SMS risk management software Because Incident Reporter Is powerful fast and easy to learn Can be accessed via web browser from anywhere in the world Requires no IT resources and can be set up in less than a week Serves as an Employee Reporting System and risk quality management database Has built in controls to ensure the completion and recording of all risk management activities Contains reference tutorials to ensure consistent quality of risk management processes Has powerful data mining and export functions for trend analysis and pie bar charts and graphs Allows you to attach documents and images to records and track costs Constantly saves your data so even if your system shuts down your records are safe and intact rae os Is there a trial version of IRv2 available Yes A free 30 day trial version of IR is available hosted on OAG s secure servers The trial version is fully functional with online reporting and email notifications so you can see how IR can streamline your reporting communication and responsibility assignment processes How much does Incident Reporter cost Incident Reporter is offered as part of the OAG Quality SMS for only 500 00 per month Call Susan Tolle at 1 206 949 1470 for more information regarding Incident Reporter How is the support what else
26. T safety workplace facilties v RISK STATEMENTS Lack of access could impact timely RCCAPRORTY v DATE OF EVENT Sep 26 2008 EXPOSURE Hardly Ever RC CA DETAILS David please issue memo or speak TIME 12H LCL UTC LIKELIHOOD Unlikely ASSIGHED David hiten Y RECORD 000153 v SEVERITY TITLE DEPT DATE RMR OPENED Sep 26 2008 RA CALC Relative Calculated Risk 9 Low DUE DATE Dec 03 2008 DATE RMR CLOSED Jan 23 2009 SAFETY RISK PROFILE COMPLETED Dec 16 2008 REPORTING SOURCE AME apprentice Ra isk Priority AUTE REPORTED VIA Online Report MONITORING ASSIGHED David Whiten dr mewn E cot momormcoescreton 1 1 1 0 _ 2 MEASUREMENT FOLLOW UP AUDIT BY David Whiten v LLL mewer FLIGHT RULES CORRECTIVE ACTION PLAN dips AUDIT DESCRIPTION staff have been informed of AIRPORT si vj CAP TEXT Ramp staff responsible to assist in AUDIT DUE DATE Dec 25 2008 Locarion v PRSHRESPONSIBLE David Whiter z AUDIT PERFORMED Dec 16 2008 mewe 0 v AUDIT SATISFACTORY ves v Tr DUE DATE 0 2525 FOLLOW UP AUDIT NOTES _ EVENT SUMMARY Northeast Fire extinguisher in DEVELOPED Dec 02 2008 EVENT DESCRIPTION SUBSTITUTERISK LESSONS EEAR
27. T MANAGERS ADMIN ONLY IR DATA ENTRY RECORD STATUS COST DATA COST REPORTS MINING meiden Detais investigation Root Causes Risk Analysis RC CAs Followups Lessonsteamed mages CORRECTIVE ACTION PLAN PERSON REPONSIBLE FOR CAP DEVELOPMENT RMR000041 Lloyd Epstein to advise Airport Authority and ask about gate Wayne McCloskey to implement ramp marshalling procedures BRO OY BE to monitor the vehicle corridor prior to aircraft DAYS LEFT PAST DUE CAP DEVELOPED SUBSTITUTE RISKS INTRODUCED BY THE CAP consider safety of ramp staff working in confined area when developing plan f incorporate into the CAP risk controis or corrective actions to mitigate substitute risks NSNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNSNS N OVERALL RESIDUAL RISK LEVEL AFTER CAP HAS BEEN IMPLEMENTED S AEGRIS N N N EXPOSURE O Continuous very Often Often Hardly Ever Never X N 2 acie 8 G X NAME Lloyd Epstein LIKELIHOOD O Certain Extremely Likely OLikely Unlikely Remote S N TITLE Director of Flight Operations Flight N SEVERITY O Catastrophic Critical amp Major OMinor Negligible S 9 N ACCEPTED CAP STATUS S N S S S S ACCEPTED ON CAP STATUS M Nov D8 2007 E 100 4 4 e TENTER el MXNNNNNNNNNNAN NN NN NN NN NA NNNNNANAS
28. ay be accessed from any record in the IR database and produces a report in pdf format which may be printed and taken to meetings or emailed as an attachment This report lists the ten or twelve highest risk activities in which the company engages and includes responsibilities for risk controls to mitigate risk SAFETY RISK PROFILE Significant Safety Issue List Record Number RMROO02722 ACTIVITY In flight mechanical failure RISK ASSESSMENT Calculated Risk Likelihood Unlikely Severity Critical Exposure Often Relatve Calculated Risk 39 Moderate RISK CONTROLS Monitonng of maintenance related Cadors Priority Level 3 Assigned to Brent Fenster Due Completed Details Maint Planning will monitor and distribute applicable CADORS info Monitoring Assigned to Brent Fenster Title Dept or Vendor Maint Planning Maintenance Monitoring Descriplion to be reviewed weekly and pertinent info disseminated to all concerned maint personnel FRielabulify analysis program adherence by QA Priority Level 3 Assigned to Jared Poser Completed Details will follow weekly requirement for reliability analysis Monitoring Assigned to Title Dept or Vendor Monitoring Descriplion Training program review and implemented next budge year Outes and responsiblines of floor supervisors clantied and implemented training and oversight Priority Level 2 Assigned to Dennis Golf Due Compl
29. comes of effects are the result of one or more causes These causes Consider the following example using a singl may be nalural of man made actieg or passive er cause a leads to effect T with few intermed Here Users are assisted In their obvious or hidden Those causes that immediately to the effect or these factors is as dascribad below determ nation of root causes with outcome are often called direct or proximate causes Direct causes often result from another set of causes which could be called intermediate fj aircraft will not start reference tutorial that explains the causes and these may be the at still other causes When a chain of is dead fause and elfect is followed from a known and state back to origin or d alb snator amp inoperative process and provides a basic example starting point root causes are discovered alternator is beyond its designed servit b altematnr was not changed in accordai determination of root causes Is necessary lo solve problem thal has proram These rete rence tutorials greatly speed actually occured to pnavent a lass serious prablam from escalaling t an maaienance records indicated the alte learning and resu It In hig her quality unacceptable level Solving a problem by addressing root causas is but work order was not incorporated ir more effective than merely addressing symptom
30. d Handling EVENT OR HAZARD SUMMARY Near collision between Purolator van and ATR DETAILED DESCRIPTION OF EVENT HAZARD N3422 Y was departing when a unmarked UPS cub van cut in front of him causing him to slam on his brakes van also tried to stop but realized that if did he would definitely be hit by the ATR He then continued past IMMEDIATE ACTION S TAKEN drove over to Purolator and stopped the driver making sure he realized how close he was to causing a very major accident explained that if the beacon lights on and both props are moving the has the right of way INVESTIGATION NOTES Discussed this wath David Helander Walked out to the ramp to get a better picture of layout ATR s were parked with their noses facing North ATR involved was furthest to the east with at least one an it s left side Engine start completed and thumbs up given by ramp staff who then moved to area behind aircraft as there is not room to safely marshall the aircraft forward Pilots view to the west likely blocked by the other aircraft and a clear view not available until moving forward Likewise the view of the van driver would be of the other aircraft not yet running Ramp congestion in the morning is compounded by the roadway at the north end of the ramp ROOT CAUSE S Ramp congestion the north ramp compounded by the roadway which must be left clear for access vehicles Requests have been made to have courier traffic
31. d the control of your company to prevent a recurrence In such cases the event may be recorded a NO answer provided to the question here and the record closed No further action is required IS FURTHER ACTION REQUIRED TO MITIGATE RISK OR PRECLUDE A SIMILAR FUTURE OCCURRENCE If no further action is required to mitigate risk the record be closed by first choosing No If further action is required choose Yes and continue with Safety Risk Management processes 100 dl add Browse z P EX O 2007 2009 www omniairgroup com Revision 05 Incident Reporter v2 Pg 9 Date 20 Dec 2009 IMPORTANT Controlled page If this page is copied or reproduced for use outside this document its currency will expire 14 calendar days from enter date copied OMNI AIR GROUP SAFETY MANAGEMENT SYSTEMS Aviation Systems amp Services Incident Reporter v2 D INVESTIGATION TAB On the Investigation Tab assigned investigators record investigation notes and root causes When due dates for the completion of tasks are not met days remaining displayed in black become days past due and are displayed in red Program controls prohibit closing of records for which all required tasks have not been accomplished Open records always display in red Ex FileMaker Pro IR Operators Demo OAGHEUST mi xi File Edit View Insert Format Records Window Scripts Help DATA ENTRY
32. ee value H i ECL COM p weeks accrued sick leave lost by the avionics tech who broke his wrist Costs may be categorized further as 2 Feet pe ee Lem eee direct or indirect indirect costs are non inspections quantifiable and may be related to the x3 Aircraft Repair Outsourcing 1R00002 05 Aug 2007 B8 535000 department station or an_ individual employee Management may want to record such information to get a better picture of the true impact of an incident or other irregularity Examples of indirect costs might include the loss of a customer due to a failure to meet minimum performance standards or lost duit 141 productivity or wages by personnel For Help press F1 MM 4 9 ADDITIONAL RESOURCES The following white papers and resources contain additional information regarding Incident Reporter Quality SMS Online Reporting with IR Incident Reporter Demonstration Video Contact Susan Tolle at 1 206 949 1470 for copies of these white papers or visit Omni Air Group online at www omniairgroup com mI C rr 2 2 O 2007 2009 www omniairgroup com Revision 05 Incident Reporter 2 Pg 23 Date 20 Dec 2009 IMPORTANT Controlled page If this page is copied or reproduced for use outside this document its currency will expire 14 calendar days from enter date copied OMNI GROUP SAFETY MANAGEMENT SYSTEMS Aviation Systems amp
33. een developed in accordance with aviation SMS risk management principles contained in ICAO Document 9859 Safety Management Manual IATA s Safety Management Systems The Senior Airline Manager s Implementation Guide FAA s SMS Framework SMS Assurance Guide revs 2 dated 07 15 09 AC 120 92 and AC 150 5200 37 Canadian Aviation Regulations Part 1 Subpart 7 Safety Management System Requirements Transport Canada Advisory Circular AC 107 001 Guidance on Safety Management Systems Development IRv2 meets all ICAO Transport Canada FAA and JAA EASA functional requirements for risk assessment accountability documentation and controls B POWERFUL RISK QUALITY MANAGEMENT AND COST TRACKING TOOLS Incident Reporter has been designed from the ground up to be intuitive and user friendly IRv2 is utilized in conjunction with Omni Air Group s SMS Manual supporting programs and Online SMS Training for a complete SMS solution or may easily be integrated into existing Safety Management Systems It s important to note that Incident Reporter IS NOT a Safety Management System and of itself the program will however become the heart of any SMS into which it is integrated and is a highly effective risk and quality management tool Data is collected from Safety Assurance processes such as system task analysis and employee reports Hazards and other events investigated root causes are determined
34. entry for IR s various risk management processes These nine tabs are used to record and track hazards errors safety concerns incidents and other events By clicking on a tab itself users easily move from tab to tab and blue navigation buttons near the top allow users to quickly navigate between screens The record above is OPEN as indicated in red Users may enter data manually or import data with the mport Records command from an XML Data Source such as a reporting form on your company website from an Excel File xls or from tab separated or comma delineated txt files derived from electronic reporting forms created in 5 WORD or in pdf format Data from IR may also be exported to these same formats NOTE An XML Data Source is XML code that is embedded into an HTML page It requires the use of Microsoft s XML Data Source Object DSO which is a Microsoft ActiveX control built into Internet Explorer 4 and higher Using this object it is possible to extract content from a web based form and import the data into IR O 2007 2009 www omniairgroup com Revision 05 Incident Reporter v2 Pg 8 Date 20 Dec 2009 IMPORTANT Controlled page If this page is copied or reproduced for use outside this document its currency will expire 14 calendar days from enter date copied OMNI AIR GROUP SAFETY MANAGEMENT SYSTEMS Aviation Systems amp Services Incident Reporter v2 B RECORD STATUS SUMMARY SCREEN a FileMaker Pro IRv
35. eted Details Monitoring Assigned to Title Dept or Vendor Monitoring Descriplion Mant management responsibilies and repaorirg structure changed Priority Level 3 Assigned to Jared Poser Completed Details Under development Monitoring Assigned to Title Dept or Vendor Monitoring Descriplion OBJECTIVE reduce in flight mechanical problems failures GOAL imprave aircraft and component reliability MEASUREMENT fewer pilot reports per 100 hrs Prrded Oct 11 2008 2007 2009 www omniairgroup com Revision 05 Incident Reporter v2 Pg 19 Date 20 Dec 2009 IMPORTANT Controlled page If this page is copied or reproduced for use outside this document its currency will expire 14 calendar days from enter date copied OMNI AIR GROUP SAFETY MANAGEMENT SYSTEMS Aviation Systems amp Services Incident Reporter v2 C CLL REPORT The Communication of Lessons Learned Report may be accessed from any record in the IR database and produces a printable report using select data from the record being viewed This includes the event summary and details investigation notes root causes and risk controls to prevent reoccurrence The CLL Report may be printed and posted attached to an email or embedded in a company memo Record Number RMROOO02Z0 COMMUNICATION OF LESSONS LEARNED EVENT Date of Event Jun 26 2008 19 22 LCL Type Accident near Class Safety OPERATIONAL PROCESS Groun
36. ived From your iPhone or other PDA you can receive the email link back to IR and login with the touch of a button and assign one of your people to investigate in seconds Menu choices are user customizable so you can define the types of events you want to capture equipment utilized stations served and other data that is unique to your operation IR easily imports up to six photos or reference files source documents per record Tooltips direct users to reference tutorials where written guidance and examples help users through various risk management processes such as how to develop an effective Corrective Action Plan Familiarize yourself with Incident Reporter by viewing a 30 minute demonstration video A ONLINE REPORTING Masher 05400 W ndgmws Intersect Esplneer m xj Incident Reporter supports nstant et i 1489 59 npiege dba te Master AA Googe Pjr Fin View Femi Tonk Fel Web Publishing This feature 51 12 ceccan vmi eni OM etn sre oe allows you to set up your IR ONLINE REPORTING FORM If yau do nar want ro submit a report ar this rima please click CANCEL and close your Web browser to log out database for Online Reporting In addition online reporting managers and users may also perform data entry while in the field Access to your database via the internet whether for reporting p
37. lenathenina the time between exposure O 2007 2009 www omniairgroup com Revision 05 Incident Reporter v2 Pg 13 Date 20 Dec 2009 IMPORTANT Controlled page If this page is copied or reproduced for use outside this document its currency will expire 14 calendar days from enter date copied OMNI AIR GROUP SAFETY MANAGEMENT SYSTEMS Aviation Systems amp Services Incident Reporter v2 File Edit View Insert Format Records Scripts Windoy du CAP AND RESIDUAL RISK ASSESSMENT For a Corrective Action Plan to be effective it should be kai accepted by the appropriate risk decision authority ACCEPTANCE OF CAP AND RESIDUAL RISK These reference tutorials explain to all users how this RS zs essential risk management process works when they When tha risk d harit ts a CAP and See ase aed te verni ic may accept a CAP and when it should be elevated to a higher level of authority That they hold the necessary authority and have the Necessary resources available to effectively implement all ri controls and corrective actions which comprise the GAP That the proposed CAP has been properly developed basen an investigation of the incident event or concen determination of root causes calculated risk assessment preferred order of controis APPROPRIATE RISK DECISION AUTHORITY The appropriate level to accept a CAP and associated
38. lendar days from enter date copied OMNI AIR GROUP SAFETY MANAGEMENT SYSTEMS Aviation Systems amp Services Incident Reporter v2 B GRAPHS PIE AND BAR CHARTS Use IR s powerful find commands including multiple constrained finds in the Data Mining screen or in any field throughout the program to drill down and find exactly the data you re looking for Then export selected fields to Excel for creation of pie bar charts and other graphical representations of data C STATISTICAL CONTROL CHARTS After finding specific data within IR over various time frames selected fields may be exported to Excel Using an inexpensive add on program such as SPC for Excel Software a variety of statistical tools can be utilized for data analysis including Pareto diagrams Histograms Attribute Control Charts Variable Control Charts and many more Visit Consulting LLC online for more information and training regarding the use of Statistical Control Charts D COST REPORTS Clicking on Cost Reports takes users to the Cost Reports Switchboard Here Cost Reports may be sorted by cost type or record number within a specific date range incident Reporter v2 0 loj File Edit View Insert Format Records Scripts Window Upgrade Help 81 x Cosr REPORTS SWITCHBOARD m MAIN IR Dara Entry SuMMARY REPORTS Cost Data Entry Cost REPORTS Va ue Lists Printed Oct 11 2008 Costs Cost Cost
39. ngineer Guard Warn Limit Exposure Reduce Effects Selection of Personnel Motivate improve Task Design k Rehabilitate Train amp Educate Macro options and reduce options are also provided to assist users in their development of effective risk controls and corrective actions Pw y MACRO OPTIONS Reject We can and should refuse to take risk if the overall costs of the risk exceed its operational benefits Avoid Avoiding risk altogether requires canceling or delaying the job task ar operation but Is that rarely exercised due to the Importance of tasks of operations Delay It may be possible ta delay a risk If there is no time deadline or ather operational benefit to speedy accomplishment of risky task then it i ef ten desirable to delay Ihe acceplance of risk During the delay the situation may change and the necessily to accept the risk qo away Transfer Risk transference does nat change likelihood or severity af the hazard bul il may decrease exposure actually experienced by the individual or organization accomplishing the activity As a minimum the risk to the original individual or organization is greatly decreased or eliminated because the possible losses or costs are shifted to another Spread Risk is commonly spread out by either increasing the exposure distance ar bv
40. nt to enhance safety not only within the company but throughout the industry Communication of lessons learned also serves to promote the company s Safety Management System by demonstrating to all personnel that the system is working and producing positive results 2007 2009 www omniairgroup com Revision 05 Incident Reporter v2 Pg 16 Date 20 Dec 2009 IMPORTANT Controlled page If this page is copied or reproduced for use outside this document its currency will expire 14 calendar days from enter date copied OMNI AIR GROUP SAFETY MANAGEMENT SYSTEMS Aviation Systems amp Services Incident Reporter v2 J IMAGES TAB Up to six images and or file references may be added or linked to each record e FileMaker Pro IR Operators Demo DAGHOST y File Edit View Insert Format Records Window Scripts Help IR DATA ENTRY FIND MAIN SRM REPORT PERSONNEL EQUIPMENT MANAGERS ADMIN ONLY IR DATA ENTRY RECORD STATUS COST DATA COST REPORTS DATA MINING IMAGES AND OR FILE REFERENCES 8 INSERT New parking area for ATR on the ServiceAir FBO ramp 1100 dud P Browse 4 Examples of reference files that may be attached include Original source documents such as reporting forms OHS OHSA reports Audit Finding Reports NASA ASRS reporting forms Voluntary Disclosures Mechanical Reliability Mechanical Interruption Summary reports Flight Data Monitoring Flight
41. o IR Operators Demo OAGHOST l 1 xj File Edit View Insert Format Records Window Scripts Help 8 IR DATA ENTRY FND MAIN SRM REPORT PERSONNEL EQUIPMENT _ MANAGERS ADMIN ONLY IR DATA ENTRY RECORD STATUS COSTDATA COSTREPORTS DATAMINING Investigation Root Causes Risk Analysis Corective Acton Pn RCICAs Falowups Lessonsteamed mages COMMUNICATION OF LESSONS LEARNED ASSIGNED TO Wayne McCloskey TITLE DEPT CP 703 704 Flight Operations METHOD AND MESSAGE Ascent memo dispersed to J 31 flight crews re briefing pax on obstacle in isle and keeping DUE DATE Jan 20 2009 all lights including reading lights on for night ops for passenger safety and comfort DAYS LEFT PAST DUE Briefed Dave on Jan 19 2009 Wayne COMPLETED Jan 19 2009 assiGNEDTO DEPT RECIPIENT METHOD AND MESSAGE puepaTe E DAYS LEFT PAST DUE comprero 440 7 Submission of injury reports to OHS OSHA completion of voluntary disclosures to regulators and submission of comprehensive fixes reports of suspected unapproved parts and operational difficulty or mechanical reliability interruption Summary reports are but a few examples of communications that may be assigned and tracked in the IR database Operators may also choose to share lessons learned with industry trade associations or other operators of like equipme
42. onal Health Customer Service and other user defined headings Under these classes events may be further defined within the TYPE OF EVENT category Changes or additions to value list entries automatically change the options available for selection on drop down menus One time entries may also be made by clicking in a field These features make data entry fast and easy while reducing data entry errors NOTE Value List entries under the REPORTED VIA category permit sources of data from Safety Assurance activities to be tracked throughout the course of all Safety Risk Management processes Associating each Risk Management Record RMR with an OPERATIONAL PROCESS permits managers to rapidly locate all risk controls associated with a process for performance of Internal Audits and Internal Evaluations 2007 2009 www omniairgroup com Revision 05 Incident Reporter v2 Pg 7 Date 20 Dec 2009 IMPORTANT Controlled page If this page is copied or reproduced for use outside this document its currency will expire 14 calendar days from enter date copied OMNI AIR GROUP SAFETY MANAGEMENT SYSTEMS Aviation Systems amp Services Incident Reporter v2 6 IR DATA ENTRY A INCIDENT TAB IR s Main Screen presents when the program launches The main screen is customized with your organization s logo and graphics Clicking on R Data Entry reveals the Incident Tab m FileMaker Pro IR Operators Demo DAGHOST nmi x
43. ovnenAir GROUP Safety Managemenpsuste ms Incident Reporter Risk Quality Management amp Cost Tracking Program insert Format Records Scripts Window Upgrade Helpi incident Reporter v2 0 b MAIN REPOR 25 Dy Sera gene o further damage trom tocal FBO for quitable atemative s INTRODUCED BY THE CAP 2 parking area from ts 9 cap ont damage Product Information Version 2 12 20 09 OMNI AIR GROUP OMNI AIR GROUP SAFETY MANAGEMENT SYSTEMS Aviation Systems amp Services Incident Reporter v2 Incident Reporter v2 Risk Quality Management amp Cost Tracking Program Table of Contents jmi ielddlidlo sm OO 3 A FUNCTIONAL 5 8 3 B POWERFUL RISK QUALITY MANAGEMENT AND COST TRACKING 5 3 2 INCIDENT REPORTER LICENSING AND ACCESS 4 A 4 EIN Ts TC mis 4 3 FEATURES AND EASE 2 2 cu Ux CU 5 A 3 5 4 EMAIL NOTIFICATIONS
44. reference tutorials such as the one at left for When developing risk cantrals and correcties actions which comprise CAP analyzing risk control measures managers should consider all strategies including MACRO and REDUCE OPTIONS Apply the Preferred Order of Controls as described below and prioritize risk controls and corrective actions accordingh ANALYZING RISK CONTROL MEASURES PREFERRED ORDER OF CONTROLS Effective risk conas and corrective actions require evaluation of propa actions to ensure they are effective and that they do not introduce new Syslem Safely technology and practice has provided preferred order of control into system affective plan for implementing risk controls corrective actions that range from most to least effective Depending on the hazard and ite both may include more than one contral or action such initial no complexity there may be more than ane action ar strategy that may be applied Further the controls may be applied at different times depending on the lo personnel Cautions of warnings eliminalion of ane aspect of a hazai ibla d i ng 3 i x rk T immediacy of tha required action and Ihe complexity of developing more effective M su as Muminating a siruciion zn n controls As noted above it may be appropriate to post warnings while a more written policy and procedures the design of controls into a
45. s or direct causes process outputs from all users The failure T could be prevented hy address Managers must ensure that actual root causes are as opposed connecting ground power to ther air direct causes or intermediate causes Proper root cause analysis is critical probably allow the aircraft to be starbad How in order ta develop effective risk controls and corrective actions correct the undesired effect and in fact induc eee 2007 2009 www omniairgroup com Revision 05 Incident Reporter v2 Pg 10 Date 20 Dec 2009 IMPORTANT Controlled page If this page is copied or reproduced for use outside this document its currency will expire 14 calendar days from enter date copied OMNI AIR GROUP SAFETY MANAGEMENT SYSTEMS Aviation Systems amp Services Incident Reporter v2 E RISK ANALYSIS TAB The Risk Analysis tab permits entering of risk statements and assessments of exposure likelihood and severity in order to determine Relative Calculated Risk By assessing exposure as well as likelihood and severity of the risk more accurate risk assessments can be made than if likelinood and severity alone are used EY FileMaker Pro IR_Operators_ Demo OAGHOST EN Ioj File Edit View Insert Format Records Window Scripts Help la IR DATA ENTRY FIND MAIN SRM REPORT PERSONNEL EQUIPMENT MANAGERS ADMIN ONLY IR DATA ENTRY RECORD STATUS COST DAT
46. se se es sese ese spas sess sese eges serena 24 WHAT S YOUR CONTACT 00000000000000 ases sese ess sese e ssa e es 24 O 2007 2009 www omniairgroup com Revision 05 Incident Reporter v2 Pg 1 Date 20 Dec 2009 IMPORTANT Controlled page If this page is copied or reproduced for use outside this document its currency will expire 14 calendar days from enter date copied OMNI AIR GROUP SAFETY MANAGEMENT SYSTEMS Aviation Systems amp Services Incident Reporter v2 _ 2007 2009 www omniairgroup com Revision 05 Incident Reporter 2 Pg 2 Date 20 Dec 2009 IMPORTANT Controlled page If this page is copied or reproduced for use outside this document its currency will expire 14 calendar days from enter date copied OMNI AIR GROUP SAFETY MANAGEMENT SYSTEMS Aviation Systems amp Services Incident Reporter v2 Incident Reporter v2 Risk Quality Management amp Cost Tracking Program 1 IR OVERVIEW A FUNCTIONAL REQUIREMENTS Incident Reporter is a powerful and affordable hosted SMS software application that streamlines and simplifies your aviation risk and quality management processes Now in its third year of development version 2 is in use by more than sixty worldwide airports air carriers charter operators EMS providers and corporate flight departments Incident Reporter v2 has b
47. system effective elimination of the hazard mitigation of the risk is developed The order designing of controls into a system is of the most effective ways of of controls is shown here tram most effective to effective risk Investigate specific sirategies and tools that reduce mitigale or the risk Effective control measures reduce or eliminate one of tha three Plan or Design for Minimum Risk Design the system ta eliminate hazards components of risk exposure likelihood or severity Without hazard there is no exposure likelihood or severity Incorporate Safety Davicas Reduce risk through fhe use of design features or devices These devices usually do not affect likelihood but reduce severity Use oof shoulder harnesses won t prevent accident but reduces the severity of injures This reference tutorial explains how to use a preferred order of controls when developing individual risk controls and or corrective actions that comprise the CAP Provide Warming Devices Warning devices may be used to detect undesirable condition and alert personnel This could be in the tam of light warning operations manual safety bulletin advisory or signals of the hazard Develoo Pracedures and Trainina Where itis mnractical te eliminate hazards REDUCE OPTIONS The following Reduce Options assist in identifying potential isk controls r corrective actions gt E
48. that a report has been received Email notifications may also be manually sent or set by administrators to automatically alert users of approaching due dates for various risk management processes such as when manager is assigned to investigate an event or other safety issue Results of an investigation are due The development of a Corrective Action Plan CAP is due Implementation of a Risk Control RC or Corrective Action CA is due A follow up audit is due Acommunication of Lessons Learned is due FileMaker Pro IR Operators Demo OAGHOST y File Edit View Insert Format Records Window Scripts Help E MAIL PREFERENCES MAIN PERSONNEL EQUIPMENT MANAGERS ADMIN ONLY IR DATA ENTRY RECORD STATUS COST DATA COST REPORTS DATA MINING LOGIN NAMES E MAIL AND PASSWORDS PREFERENCES VALUE LISTS ACCESS LOG Due Date Settings Acknowiedyement Fotowsp Due ENABLE E MAILS amp Yes No FROM ADDRESS BCC 71 SUBJECT pee WA M Beef BODY We are receipt of your on line report BCC We have received an on line P dated Date An investigator has been MESSAGE report dated Date record assigned who may contact you for BODY number RecordNum Please log further information Thank you for into Incident Reporter to view helping us improve system safety this record sincerely To access the IR database via web browser follow the link YCO Safety Dept below and login with your Acco
49. unt Name and Password http incidentreporter corn 80 frni For all of the above events except report acknowledgement and when assigning a manager to investigate a report you can set the number of days in advance of the due date that an automatic e mail will be sent Note For more information regarding online reporting with Incident Reporter see the document titled Online Reporting with IR O 2007 2009 www omniairgroup com Revision 05 Incident Reporter v2 Pg 6 Date 20 Dec 2009 IMPORTANT Controlled page If this page is copied or reproduced for use outside this document its currency will expire 14 calendar days from enter date copied OMNI AIR GROUP SAFETY MANAGEMENT SYSTEMS Aviation Systems amp Services Incident Reporter v2 5 VALUE LISTS To facilitate data entry into IR most fields contain pop up or drop down menus Users with admin authority may customize and add to the selections available in these drop down menus by going to VALUE LISTS at any time The types of events you wish to capture airports served types of missions and other information unique to your operation is entered here For maintenance and equipment reliability tracking ATA codes are offered e FileMaker Pro IR Operators Demo OAGHOST 5 y File Edit view Insert Format Records Window Scripts Help 81 xj VALUE LISTS Data ENTRY T PERSONNEL EQUIPMENT MANAGERS E 27 IR DATA ENTRY RECORD STATUS COST
50. urposes or for data entry requires a supported web browser SUBMIT FORM Windows web users need Microsoft Internet Explorer version 6 x or Firefox 1 x on Windows On the Mac OS web users need Safari 1 2 x Mac OS X 10 3 NL Safari 2 0 x Mac OS X 10 4 or Firefox 1 x only On both platforms some earlier versions of Microsoft Internet Explorer and Safari are blocked Other Mozilla family browsers are not blocked but are unsupported and users will receive a dialog encouraging them to upgrade to a supported browser JavaScript must be enabled in the web CT PE LL browser SUBMIT 2007 2009 www omniairgroup com Revision 05 Incident Reporter v2 Pg 5 Date 20 Dec 2009 IMPORTANT Controlled page If this page is copied or reproduced for use outside this document its currency will expire 14 calendar days from enter date copied OMNI AIR GROUP SAFETY MANAGEMENT SYSTEMS Aviation Systems amp Services Incident Reporter v2 4 EMAIL NOTIFICATIONS IR supports automatic and manual email notifications for various risk management processes throughout the program For example when an online report is received an acknowledgement of receipt is sent to the reporter provided the reporter includes a valid email address in the report In addition receipt of report notification may also be sent to up to six user specified managers This ensures timely notification to key managers
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