1. Implementing a Safety Management System at Bell Helicopter’s Mirabel facility By Michel Roby

2. Why did BHTCL choose to implement its SMS as of 2001? We have been crash-free since our operations started up in 1986 but… There have been a few near-misses No system to document and investigate incidents Assembly errors have been detected in Preflight Our quality system should have detected and corrected them during the manufacturing process BHTCL wants to be a leader in Flight Safety

3. BHTCL has two licenses Manufacturer and AMO A SMS is currently required by Transport Canada, but for AMO only

4. A question was raised: Should SMS be applied only to AMO or should it apply to the entire organization? BHTCL has chosen to apply its SMS to the entire organization because our AMO and Production activities share several common services, including manpower. Applying the SMS

5. These important steps were followed Policy signed by the President Definition of roles and responsibilities Programming of an online reporting system Training given to the Flight Safety Committee Communication to employees

6. Roles and responsibilities Coordinator –Manages program on daily basis –Handles investigations further to observations –Sees to corrective action follow-up Flight Safety Committee –Makes sure the program runs smoothly –Provides monthly review of received observations –Takes part in some investigations –Makes recommendations to management

7. How an observation is processed

8. Preliminary report Observer creates report (preliminary) Potential hazard, incident and FOD reports are automatically distributed to the coordinator, to his manager and to Flight Safety preliminary report readers Preliminary report is automatically recorded as is (not modifiable)

9. How an observation is processed

10. Validation Coordinator validates the content of the preliminary report with the observer Coordinator produces the official observation report

11. Choice of processing channel

12. Processed by the coordinator Coordinator: Issues a search notice if object is suspected to be lost on aircraft. The search notice must be closed only by production and QC supervisors Investigates contributing factors Helps identifying root causes Ensures proper corrective actions are put in place and validates implementation.

13. How an observation is processed

14. Final report The Coordinator draws up the final report and sends it to the individual responsible of corrective actions. Case closed

15. Choice of processing channel

16. When processed by team Coordinator distributes report to observer, to FSFRs (Flight Safety First Responders), to Managers and Supervisors of departments involved (with voting button) FSFRs and Managers / Supervisors show interest using voting button Coordinator investigates contributing factors Task force establishes root causes and corrective actions Coordinator proposes final report Does task force validate final report ? No

17. How an observation is processed

18. The coordinator distributes the report to the observer, the Flight Safety First Responders, to task force, to Managers/Supervisors of the departments involved and to those in charge of implementing corrective action. Final report validation, write-up and distribution The Coordinator draws up final report

19. How an observation is processed

20. Corrective action follow-up The coordinator verifies whether corrective actions have been implemented. Case closed

21. Received observation reports Per 2000 work hours (2001 six months)

22. Incidents history Per 2000 work hours (2001 six months)

23. Major leaks during ground runs Per 2000 work hours 2001 six months

24. Lessons learned Communication is a vital element for success Corrective action follow-up is a demanding but essential process if tangible results are to be obtained.

25. Our SMS is a driver that helps… Reduce incident and accident risks Stabilize and reinforce the manufacturing processes Lower non-quality related costs