What are the best practices for analyzing safety incidents and accidents in your airline management system?
Iad Abdulrahman. Ph.D,PMP,PLP,P.Eng,AME, Professor,DTM,PRM,PRT.
Officer at TI
Analyzing safety incidents and accidents within an airline management system is a critical activity that underpins the overall safety and integrity of airline operations. Here are best practices to consider when undertaking such analysis:
Adopt a Just Culture: Encourage an environment where employees feel comfortable reporting safety incidents without fear of reprisal. A just culture promotes open communication and is essential for identifying and addressing safety risks.
Incident Reporting System: Have a robust and easy-to-use incident reporting system. This system should be non-punitive and protect the anonymity of reporters if necessary, to ensure that all incidents, regardless of severity, are reported.
Immediate Response: Ensure that there is a protocol for an immediate response to any incident to secure safety and preserve evidence. This might include actions from the emergency response plan and securing the accident scene.
Data Collection: Collect as much data as possible related to the incident. This includes flight data, maintenance records, witness statements, photographs, weather reports, air traffic communications, and any other relevant information.
Cross-Functional Investigation Team: Form a diverse team including pilots, maintenance staff, safety officers, and other relevant personnel to investigate the incident. This ensures a comprehensive approach to understanding the various factors involved.
Root Cause Analysis (RCA): Utilize systematic methods such as the Five Whys, Fishbone diagram, or Fault Tree Analysis to identify the root causes of the incident, not just the symptoms.
Use of Safety Management Systems (SMS): Employ the four components of SMS—safety policy, safety risk management, safety assurance, and safety promotion—to manage safety risks.
Human Factors Analysis: Investigate human factors and consider elements such as crew resource management, fatigue, ergonomics, and cognitive workload as potential contributors to incidents.
Trend Analysis: Look for patterns over time that may indicate systemic issues. Use statistical methods to analyze trends and identify risk areas.
Benchmarking: Compare data with industry benchmarks and data from other airlines to see how your airline's safety performance measures up and where improvements can be made.
领英推荐
Continuous Improvement: Develop a plan to address the root causes identified during the investigation. This may include changes to policies, procedures, training, maintenance practices, or equipment.
Follow-up: Ensure that the actions taken to mitigate risks are effective. Continuously monitor the effectiveness of any changes and make adjustments as necessary.
Regulatory Compliance: Verify that all safety measures and responses comply with national and international aviation regulations and standards.
Confidentiality and Protection: Protect the confidentiality of the data and the participants in the investigation to ensure continued trust in the reporting system.
Communication: Share findings with all stakeholders, including staff, management, and, where appropriate, the public. This transparency can promote learning and safety awareness.
Training: Use the findings from incident analyses as case studies in training programs to educate employees about potential hazards and the importance of following procedures.
External Review: Consider having an external agency or consultant review the findings and the investigative process to provide an unbiased perspective.
Safety Audits: Regularly conduct safety audits to proactively identify potential hazards before they result in incidents.
Following these best practices can help an airline to not only understand the factors that led to incidents but also to improve their overall safety culture, which is essential for safe operations. ?
Iad Abdul-Rahman Ph.D.PMP.P.Eng.PLP. AME. Aircraft Certification? 6472610073
?