1 potential challenges to sms implementation legal and cultural issues in safety reporting radu...
TRANSCRIPT
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Potential challenges to SMS implementation Legal and Cultural Issues in Safety Reporting
Radu CIOPONEA Performance Review Unit, EUROCONTROL 5 - 7 April 2006, Baku, Azerbaijan
European Organisation for the Safety of Air Navigation
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Challenges
Legal Protection from judiciary Confidentiality assurance
Cultural No-blame culture; Openness in reporting; Acceptance of mistakes; Communication and trust.
You start with a bag full of luck and an empty bag
of experience. The trick is to fill the bag of
experience before you empty the bag of luck.
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The legal challenge
Impediments/threats can exist in national legislation: Penal law; Labour law; Civil law.
Judiciary is NOT the enemy but a partner; Get a good lawyer and work together! Apart a few difficult cases, legislation is a poor justification
for do-nothing.
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Legislation / Regulation
International legislation and regulations must be implemented in full;
Copy and paste not enough, local adaptations and enforcement needed;
Respect the letter AND the spirit;
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European and national acts
Annex 13 fully implemented in your State? Directive 94/56/EC transposed in all EU States by now; However, varied effectiveness of investigative bodies; Legislation supportive in your State? Directive 2003/42/EC not yet transposed in some States; However, some impediments still remain; ESARR2 not implemented in full by many States.
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ESARR2 reportsN
umbe
r of
Sta
tes
4
9
6
15
0
2
4
6
8
10
12
14
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Noreporting
IrregularReporting
Low dataquality
Good dataquality
How many States report good data?
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Incident reports (15 States)
0
200
400
600
800
1000
1200
1400
1600
2002 2003 2004P
15 States
Runw ay Incursions
Inadequate Separation
Separation Min. Infringement
Data source : EUROCONTROL/SRU
Learn from the mistakes of others. You will not live long enough to make all of them yourself.
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Media and public
BD-700 Global Express (by Bombardier’s Canadair Division)One press article: Fast bomber aircraft with global range.
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Media and public
Confidentiality of information is crucial; However, secrecy is a different thing; Media will mostly demand (and get!) information in
difficult moments; By and large, the data obtained will be misinterpreted
and/or misused; To avoid this: permanent, targeted education,
communication campaigns
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Case study
Study on the three collisions in Europe: Paris CDG 2000; Milan Linate in 2001; Überlingen in 2002.
System breakdowns at NATS added; A balanced sample of newspapers from the five countries
involved: France, Italy, Switzerland, Germany and the UK.
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Structuralist vs human
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Representation of ATC
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European initiatives
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Safety culture
Awareness is relatively high in Europe; Alas, much remains at intention or statement level; Still a rift between management and ATCOs; Building and maintaining trust is vital; For this, communication is key; Try to meet the other party half-way.
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Supporting the safety culture
Several actions can strengthen safety culture: Training - very important but often sacrificed in
cost-cutting measures; Permanent reality checks: is it still working? Management involvement; Communication – permanent, diversified; All employees should feel confident to speak up. ACTION!
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Just culture
Apparently, ATM needs a “just culture” This is WRONG! A “just culture” for ATM will not help much; AVIATION greatly needs a just culture! Reaching critical mass will be much easier through a
wide civil aviation partnership; See Danish example.
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Best practice
Europe has best practice examples: Portugal; United Kingdom; Denmark; France; Rhodes airport.
Size does not matter; National culture does not matter.
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0
10
20
30
40
50
60
70
80
90
100
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33
Mat
urity
Sco
re %
2002
2004
Where we are today
Maturity of Formal Safety Framework in ECAC: REGs
70% Target
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70% Target
Where are we todayMaturity of Formal Safety Framework in ECAC:
ANSPs
20
70% Target
Where we need to be Maturity of Formal Safety Framework in ECAC:
ANSPs
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?
Questions?
Thank you!