Investigation in Safety Management Systems

 

(ISMS)

25 February 2008

 

 

Course Description

The Investigation in Safety Management Systems (ISMS) course is a follow-on course to the Safety Management Systems (SMS) course. It provides managers with knowledge and training in the process of investigating minor accidents and incidents in an aviation organization.  It supports the implementation of an SMS by providing the tools and techniques used to investigate incidents, minor occurrences and hazards. The course provides practical training in investigating an incident through case studies as well as practice writing an investigation report based on the ICAO model. The ISMS course also discusses the aviation manager’s responsibility for supporting an ICAO/NTSB aircraft accident investigation.

 

PLEASE NOTE: The ISMS course is NOT a course in aircraft accident investigation nor a course in investigation management.  For these two subjects, please refer to the Aircraft Accident Investigation (AAI)  and Investigation Management (IM) courses in the SCSI catalog.

Who Should Attend

  • This course is designed for managers of aviation organizations who have responsibility for reacting to incidents and other occurrences involving safety hazards in their organizations as a part of a comprehensive Safety Management System.

  • This course is not intended for those who will participate in ICAO or NTSB formal aircraft accident investigations, these individuals should take the SCSI Aircraft Accident Investigation Course.

How You Will Benefit

  • The ISMS course expands upon the brief introduction to investigation presented in the Safety Management Systems (SMS) course. In this course you will expand your knowledge of the process of investigation.  You will learn the Integrated Safety Investigation Methodology suggested by ICAO as a process for investigation.  This methodology will show you how to set up an investigation, the steps in collecting and preserving evidence, how to interview witnesses and how to prepare an effective report.  You will also be introduced to the obligations each aviation organization has in supporting a major aircraft accident investigation as defined in the ICAO Annex 13.

  • You will learn a data-driven approach to enhancing aviation safety -- how to collect and use data that will support a proactive approach to safety.

  • This course is accepted by the Board of Certified Safety Professionals for Continuance of Certification credit.

  • SMS is one of the required courses for the Certificate in Safety Management Systems (Aviation) granted by SCSI.

  • SCSI will award 3.6 CEUs to each participant who successfully completes this course.

  Course Topics

  • Investigation, Background, Philosophy, and Regulatory Requirements (ICAO Annex 13, OSH)
  • How investigation supports SMS
  • Establishing a Company Reporting System
  • The Integrated Safety Investigation Methodology as a process
  • Preparation and preliminary actions
    • Investigation plan
    • Investigation Kit
    • Investigation hazards
  • Preparation and preliminary actions
  • Initial actions
    • Collect evidence
    • People, parts, position, paper
  • Investigating Human Factors
    • Human Performance Factors
    • Human Errors
    • Procedural Deviations
  • Types of investigations
    • Accident - aircraft, vehicle, industrial
    • Incident
  • Analyzing the evidence
  • Findings, causes, and recommendations
  • The report
  • Follow-up to the investigation
  • case study:  investigation practice
  • Supporting an ICAO/NTSB investigation

 Course Schedule

ISMS Mon Tue Wed Thu Fri
08-09 Welcome, admin and   overview

How investigation supports SMS

Human Factors Inv-2

  

 Industrial Investigation

 

 The Report

  Case Study Discussion
09-10 Reporting Systems Managing Human Error Systems Investigation 1 Findings, Causes, and Recommendations
10-11

Company Reporting

 Witness Interviewing

 

 Systems Investigation 2  Case Study - F/C&R Supporting an ICAO/NTSB Investigation
11-12 LOSA and FOQA Vehicle Investigation Writing the Report Summary

Graduation
12-13 Lunch Lunch Lunch Lunch  

 

 

 

 
13-14

The Investigation Process 

 Accident and Incident Diagrams

Safety Analysis 1 

 Case Study

Investigation

 
14-15 Initial Actions Photography Safety Analysis 2
15-16 The Prelim Investigation Operations Investigation Case Study
16-17 Human Factors Inv-1 Maintenance and Logistics Investigation

Course Instructor

  • John Richardson

    •

    Course Administration

    Taught at the Pacific Palms Conference Center in Southern California, the  Investigation in Safety Management Systems (ISMS) course consists of 4.5 training days (36 hours of classroom instruction). Participants receive lecture outlines, additional reference material, and a Certificate of Completion. Classes begin daily at 0800 and end at noon on the last day.

    Typical Comments from Attendees
    • I really like the way the various courses interlock.
    • I liked the ability of the instructor to teach people from different backgrounds.

     Course Schedule, Location and Tuition