When They Just Come And Talk To You
NOTE: This post is from one of our frequent contributors to this blog, "Birdseye59604.
This
month is 15 years ago sine the Singapore Airlines Flight 006 accident happen at
Singapore Changi Airport. The airplane lined up and initiated takeoff on parallel
runway under construction, and it was barricaded. It was raining, windy, dark
and Typhoon was moving in, with gust up to 50 KTS, to the point of almost
exceeding aircraft maximum crosswind component. The Captain became the face of
the systems which to blame.
In a non SMS World the systems are concealed to show only the face. |
When they just come and talk to you
is when there is no Safety Management System in place and airport, air-traffic
controllers and pilots are operating in a virtual world of perfect operations.
In this virtual world there is no accountability and hazards are not
communicated, but ignored. They just come and talk to you where words and sentences
of verbal instructions becomes singularized operational standards. Flight 006
was cleared for takeoff on RWY 05L, but ended up on RWY 05R. In the aftermath
of this horrific accident the finding concluded with "I told you so".
Construction happens at airports all
the times and is more frequent and congested during the summer months.
Construction happen on Runways, Taxiways and Aprons with various impact on
flight and ground operations, from severe accidents to inconvenience for
operations. Construction on aprons may not allow for General Aviation aircraft
at uncontrolled aprons to taxi to the normal location for fuelling or deplane
passengers. In a non Accountable environment, and in a non Just-Culture
environment, a Blame-Culture exists
which is blame someone when an aircraft is guided into a location where the
aircraft was not suited to be parked. Blame is most often given by an authority
position to a non-authority position.
Placing blame
on the tree when leaves are falling is ignorance without accountability to the
process.
|
In an SMS Environment with Accountability
and Just-Culture blame is not assigned, but it is an environment where facts
are investigated. Accountability is to
do whatever it takes to ensure safety and a Just-Culture is freedom to express, verbally
or written, any ideas or opinions to improve safety. In an SMS Environment they
don't just come and talk to you, they apply
facts, they apply weight to the risk, they apply environmental factors, human
factors and everything else factors to make changes to processes. In an SMS
World, process changes are implemented without blame, but with Accountability. Organizational
changes are then implemented at the level of disrespect for Accountability.
BirdsEye59604
Learn more about gaining objective evidence: dtitraining.com click on "Symposium" and "iAuditor"
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