AVSAFETY Flashcards
5 basic characteristics that are universally associated with effective safety reporting systems
information, accountability, willingness, learning, flexibility
people are knowledgeable about the human, technical and organizational factors that determine the safety of the system as a whole
information
people are willing to report their errors and experiences
willingness
people are encouraged (and rewarded) for providing essential safety related information. however, there is a clean line that differentiates between acceptable and unacceptable behaviour.
accountability
people can adapt reporting when facing unusual circumstances, shifting from the established mode to a direct mode thus allowing information to quickly reach the appropriate decision-making level
flexibility
people have th competence to draw conclusions from safety information systems and the will to implement major reforms
learning
hide the information
pathological
restrain the information
bureaucratic
value the information
generative
when an accident or serious incident occurs, what is set in motion
accident investigation process
what is accident investigation process for
to find out any possible failure within the aviation system and the reasons thereof; and to generate the necessary countermeasures to prevent recurrence.
distinct role of accident investigation process
being an essential process which deploys when safety defenses, barriers, checks, and counterbalances in the system have failed.
Being an important reactive component of the elements contained in what frameworks
Safety Management System and State Safety Progrom
accident
investigations contribute to what
continuous improvement of the aviation system by providing the root causes of accidents/incidents and lessons learned from analysis of events
what provides for the investigation of lower-consequence events
mature safety management environment