Non-Punitive Reporting of Hazards,
Incidents Or Accidents
Post by CatalinaNJB
A
non-punitive policy under an SMS program is a policy for the internal reporting
of hazards, incidents or accidents, including the conditions under which
immunity from disciplinary action will be granted. The intent of the policy is
for organizations to receive data from personnel and then analyse how
organizational processes are functioning, or why they are not being as safe as
first assumed.
A simple non-punitive reporting policy |
Within an SMS organization, the outcome of processes is not
totally dependant on inputs, but also on human factors variables. The concept
in process management that outcome is dependant on what is put into the process
is based on standard inputs without variation. Within an SMS environment the
variables are human factors, where the same input to a process may yield a
different outcome with different personnel involved. If the outputs of SMS
processes did not vary the variables of human factors, a non-punitive policy
would be redundant and ineffective.
Since the beginning of aviation,
airports and airlines, have been audited, inspected and assessed for
compliance. One year the audit result was found to be in compliance, while the
next year the same systems were found not to be in compliance. Often, there
were changes to audit and inspection results when an organization hired new
personnel to do audits and inspections. This does not imply that one was more
correct than the other, but that the variables of human factors made a change
in outcome with the same process. In a real world, human factors variations spread
out like a dropped bag of marbles.
Human factors variations could be
controlled by enforcement. When applying this concept, variations are not
managed, or considered, they are only enforced. Some industries are heavily
into enforcing technical standards. When enforcing an outcome, the enforcement
is of the outcome, or process result itself, and not of the processes which
lead up to the result. This is an effective tool for selective non-compliance
discovery, but an extreme ineffective and resource demanding tool for an
unbiased process compliance discovery. In addition, for fully compliance with
this enforcement process, the technical enforcement process itself must also
self be enforced, which is a concept causing an indefinite level of layers of
enforcement. However, when applying a non-punitive policy of process
compliance, the resource demand is drastically reduced, compliance increased
and higher profit generated.
Variables are the fork in the road |
Safety Management System in aviation
has recognized that human factors exist and that identifying these variables
will increase safety margins of processes with the result of a more effective
and streamlined organization. With a non-punitive policy in place, the odds of receiving
data of critical importance to safety are increasingly in favor of the
airports, or airlines. A non-punitive policy does not imply that in times prior
to SMS, personnel received punitive punishment for internal reporting of a
hazard, an incident or an accident. The non-punitive policy is a defined link
within an SMS system for the system be compliance with organizational polices,
that it is documented, approved, accountable and applied to operational processes.
CatalinaNJB
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