Learning from All Operations Methods and Practices Flashcards
Why is it important to expand the scope of what constitutes safety-relevant events?
Expanding the scope is crucial because it allows organizations to learn from a broader range of operations, not just from adverse events. This broader perspective can help identify more opportunities for improving safety through insights into everyday work, leading to the development of better policies, procedures, training, equipment design, and system design.
How can organizations leverage existing processes to support Learning from All Operations?
Most aviation organizations already have processes in place for collecting, analysing, managing, and disseminating safety data. These existing processes can be leveraged in manageable ways to expand insights and translate them into actionable improvements, effectively supporting the Learning from All Operations concept without requiring a complete overhaul of current systems.
What are some methods to support Learning from All Operations?
The methods include observations of work, event investigation, surveys and audits, and the expanded use of system data. Each method builds upon or complements existing approaches to collect and analyse safety data, focusing on both positive and negative outcomes to provide a comprehensive understanding of operations.
How can event investigation be adapted to focus not only on what went wrong but also on what goes well?
Event investigations can be expanded to include questions about what went right during the event, how things usually go well, and why things sometimes go exceptionally well. This may require modifications to the organization’s classification schemes and taxonomies to be more descriptive and less normative, facilitating a balanced learning approach.
What role does the expanded use of system data play in Learning from All Operations?
Expanded use of system data, including digital surveillance data and flight data analysis, supports learning across the full spectrum of performance. By analysing everyday operational data and not just exceedance events, organizations can address specific safety issues more effectively and support individual learning. This approach can include the use of replay capabilities for crew debriefing and self-learning, as well as computer-assisted text analysis to identify weak signals
