Common Occurrence Reporting the benefits of working … · Common Occurrence Reporting – the...

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Common Occurrence Reporting – the benefits of working together Marcus Dacre Head of Risk RSSB

Transcript of Common Occurrence Reporting the benefits of working … · Common Occurrence Reporting – the...

Common Occurrence Reporting –the benefits of working together

Marcus Dacre

Head of Risk

RSSB

What is RSSB and what does it do?

A not-for-profit company owned by major stakeholders in the GB rail industry.

Supports its members to achieve their objectives of improving safety and performance and delivering value for money across the industry

Understanding risk Collaborating to improve

Guiding standards Managing research,

development and innovation

A vision of the near future…

Technology as an enabler

Real-time data Real-time intelligence

People make the railway safe

Evolution of reporting in GB

History: major accidents, major concern

1988 Clapham Junction1989 Purley1991 Newton1994 Cowden

1997 Southall

1999 Ladbroke Grove

2000 Hatfield2001 Great Heck2002 Potters Bar2004 Ufton Nervet2005 Elsenham2007 Grayrigg

2011 James Street

History: major changes in capability

1988 Clapham JunctionBritish Rail Incident Management System

History: major changes in capability

1988 Clapham JunctionBritish Rail Incident Management System

1994 PrivatisationSafety Management Information System (SMIS)

History: major changes in capability

1988 Clapham JunctionBritish Rail Incident Management System

1994 PrivatisationSafety Management Information System (SMIS)

1999 Ladbroke Grove

2000 Hatfield Safety Risk Model (SRM)

Safety Risk Model – Risk Profiling Tool

History: major changes in capability

1988 Clapham JunctionBritish Rail Incident Management System

1994 PrivatisationSafety Management Information System (SMIS)

1999 Ladbroke Grove

2000 Hatfield Safety Risk Model (SRM)

Safety Risk Model – Risk Profiling ToolIndustry agrees to open sharing of safety dataPrecursor Indicator Model (PIM)

History: major changes in capability

1988 Clapham JunctionBritish Rail Incident Management System

1994 PrivatisationSafety Management Information System (SMIS)

1999 Ladbroke Grove

2000 Hatfield Safety Risk Model (SRM)

Safety Risk Model – Risk Profiling Tool2004 EU Railway Safety Directive Industry agrees to open sharing of safety data

Precursor Indicator Model (PIM)Taking Safe Decisions

History: major changes in capability

1988 Clapham JunctionBritish Rail Incident Management System

1994 PrivatisationSafety Management Information System (SMIS)

1999 Ladbroke Grove

2000 Hatfield Safety Risk Model (SRM)

Safety Risk Model – Risk Profiling Tool2004 EU Railway Safety Directive Industry agrees to open sharing of safety data

Precursor Indicator Model (PIM)Taking Safe Decisions

2010 Review of RIDDOR reportingClose Call reporting system

Fatalities

Major injuries

Minor injuries

Near misses

Close calls

History: major changes in capability

1988 Clapham JunctionBritish Rail Incident Management System

1994 PrivatisationSafety Management Information System (SMIS)

1999 Ladbroke Grove

2000 Hatfield Safety Risk Model (SRM)

Safety Risk Model – Risk Profiling Tool2004 EU Railway Safety Directive Industry agrees to open sharing of safety data

Precursor Indicator Model (PIM)Taking Safe Decisions

2010 Review of RIDDOR reportingClose Call reporting system

2016 SMIS+: Enterprise SMS Software

People, processes, tools and information

People

Tools & Information

Processes

Safety culture

Culture is the way you think, act and interact

A culture of “real and perceived pressure and fear”

Review of RIDDOR reporting 2005-2010

Initiatives to improve safety• Performance targets • League tables• Accident-free periods rewarded• Senior management scrutiny

Many accidents not reported

Continuous improvement?

Evidence-based decision making

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Effort ≈ Safety Benefit

Effort ≈ 2 x Safety Benefit

Effort ≈ 5 x Safety Benefit

Effort ≈ 10 x Safety Benefit

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SAFETY BENEFIT / EFFORT: TOP 10

Continue

Cab out of service at end of journey

Train out of service mid journey

GSM-R hand portables always best optionThese charts represent the next best option if hand portables not available

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Journey length = 100 miles Journey length = 150 miles Journey length = 200 miles

Journey length = 300 miles Journey length = 400 miles

Train accidents with passenger or workforce fatalities

Source: ORR for historical data; SMIS for recent statistics

Train accident precursors

Empowering local decision makers

Local

Regional

National

From compliance to continuous improvement

Railway Safety Directive 2004/49/EC

Common Safety Methods

Monitoring

Risk evaluation and assessment

Supervision

Assessing … Safety Authorisations

Assessing … Safety Certifications

Assessment of achievement of safety targets

Monitoring and supervision

Activities & their results

Accident precursors

Accidents

Company

Department

Individual / team

Regulator

Current developments

Data and Risk Strategy

The risk intelligence that a world class railway needs, efficiently provided to the right people in the right format and at the right time.

SMIS+: Enterprise SMS software

SMIS+: Industry working together

SMIS+ programme implementation

Phase 1 – December 2016

– User-friendly web based system

– Risk-based data model

– Investigation tracking

– Business process workflow

– Business intelligence

Phase 2 – spring 2017

– Access via mobile devices

– Close call

– Links to asset systems

– Improved data quality processes

Network Rail’s Common Consequence Tool

Final thoughts

Common occurrence reporting

The cultural journey

Culture is the way you think, act and interact

A shared vision

Working together, building bottom-up

Another step change in safety performance

Thank you

Source of images on slides 30 & 39: Wikipediahttps://en.wikipedia.org/wiki/Flag_of_Japanhttps://en.wikipedia.org/wiki/Kaizenhttps://en.wikipedia.org/wiki/Flag_of_Europehttps://en.wikipedia.org/wiki/High-speed_rail_in_Europe