OPERATIONAL RISK MANAGEMENT OBJECTIVES • Establish a common ORM language • Train all hands on ORM basics: – 3 application levels – 4 ORM principles – 5 steps of ORM process • Group Sessions - ORM Scenario Applications WHAT IS ORM ? A leadership tool used to accomplish the mission with the least risk. ORM GOAL To strive for operational readiness & effectiveness by managing risk to accomplish the mission with minimal loss. USN & USMC SHORE/GROUND MISHAPS USN & USMC AVIATION MISHAPS USN & USMC RECREATIONAL MISHAPS USN & USMC SUICIDES ??? Why? USN & USMC PMV MISHAPS TOP CAUSES OF DEATHS (1995-1999) 631 Motor Vehicles Suicide 350 258 Natural 157 Recreation Aviation 133 Crime 111 Shore/Ground 108 Afloat 16 1,846 Deaths NAVY/MARINE AIRCRAFT LOSSES FY 95-99 TYPE AIRCRAFT JETS # LOST 106 HELOS 37 PROPS 5 TOTAL LOST 148 ORM IN SIMPLE TERMS ORM can be as simple as taking a few seconds to review your current situation. ORM IS NOT NEW 776 aircraft destroyed in 1954 Aircraft Mishap rate 60 22 aircraft destroyed in 1999 Angled decks Rate 1.44 Aviation Safety Center Naval Aviation Maintenance Program (NAMP), 1959 RAG concept initiated NATOPS Program, 1961 Squadron Safety program System Safety Designated Aircraft ACT 50 40 30 20 10 0 50 65 80 FY 95 WHAT GOT US TO THE PLATEAU? • Tried and true principles: –Leadership –Accountability –Creativity NAVAL FLIGHT MISHAP CONTRIBUTING CAUSE FACTORS RATE PER 100K FLT HRS 3 2 Maintenance error Material malfunction Aircrew error 1 Supervisory error Human error Total mishap rate 0 93 94 95 96 FY 97 98 99 WHAT CAN WE DO TO IMPROVE? • Concepts that will help us break through the plateau. –Operational Risk Management –Human Factors Considerations –Technology ORM TERMS HAZARD A condition with potential to cause mission degradation, personal injury or death, or property damage. ORM TERMS RISK An expression of the potential impact of a hazard in terms of severity and probability. ORM TERMS SEVERITY The worst credible consequence which can occur as a result of a hazard. SEVERITY CATASTROPHIC CRITICAL MODERATE NEGLIGIBLE ORM TERMS PROBABILITY An expression of the likelihood that a hazard will cause mission degradation or result in a mishap or loss. PROBABILITY DEFINITIONS Example Breakdown • LIKELY to occur very soon • PROBABLY will occur in time • MAY occur in time • UNLIKELY to occur ORM TERMS RISK ASSESSMENT The process of evaluating the associated risks of identified hazards. ORM TERMS CONTROL A measure for reducing risk for an identified hazard by lowering the probability and/or severity. Risk Control Desired Effect Drive probability down PROBABILITY LIKELY to occur very soon Drive Severity Down SEVERITY A Catastrophic I Critical II Moderate II Neglibible V PROBABLY will occur in MAY occur in time UNLIKELY C D time B RISK ASSESSMENT to occur in time 3 APPLICATION LEVELS • Time Critical – Little time, done on the run. • Deliberate – For situations that allow more planning. • In Depth – Long term process with extensive research and planning. 4 KEY ORM PRINCIPLES 1. Accept risks when benefits outweigh costs. 2. Accept no unnecessary risk. 3. Anticipate and manage risk by planning. 4. Make risk decisions at the right level. 5 STEP ORM PROCESS 1. Identify Hazards 5. Supervise 4. Implement Controls 2. Assess Risks 3. Make Control Decisions CAUSES OF RISK * Change - The “Mother” of Risk * Resource Constraints * New Technology * Complexity * Stress * Environmental Influences * Speed or Tempo of Ops * Societal Constraints * High Energy Levels * Human Nature CULTURAL CHALLENGES • Can do “anything, anywhere, anytime, at any cost” mentality. • “Do more with less” mindset. • Reluctance to say “no.” • Making decisions based on “the way we’ve always done it.” • Letting others worry about our mission hazards. • Doing only what we “have to” and not what we “should do.” ORM TOOLS • SHARP/SARA/SQOM • NAMP/NATOPS/SOP’S • ACT/GCT • HFC/HFB • SURVEYS (SAFETY/MCAS/CSA) • TRAINING (Standdowns, GMT, etc.) • ORM Corner stories in magazines ORM Website ORM VISION: Make ORM our way of doing business Three Questions: What can happen that can hurt me or my mission? What am I going to do about it? If I can’t … who am I going to tell? TOP CAUSES OF DEATHS (1995-1999) 631 Motor Vehicles Suicide 350 258 Natural 157 Recreation Aviation 1. Identify Hazards 133 5. Supervise Crime 111 Shore/Ground 108 Afloat 16 4. Implement Controls 2. Assess Risks 3. Make Control Decisions “And...you gotta try not to get famous while you’re in the act.” If there is any doubt…then there is no doubt. Stop what you are doing and and brief it !!!! Any Questions???