Professional Documents
Culture Documents
ICAO Airworthiness Conference - SMS HF Perspective - 10 Mar 2014
ICAO Airworthiness Conference - SMS HF Perspective - 10 Mar 2014
461545 - YES
461546 - NO
• SMS & HF/HP! Why Risk Based Model?
• Conclusion
How did we come here?
http://youtu.be/ReEWDnwlkFY
HUMAN ERROR - DEFINITION
Unintended
Action Memory Failures
Omiting planed item
LAPSE Place losing
Forgetting intentions
Unsafe
Acts Rule Based Mistakes
Misapplication of good rule
MISTAKE Application of bad rule
Knowledge Based Mistakes
Intended Many variable forms
Action
Routine violations
VIOLATION Exceptional violations
Acts of sabotage
“Just Culture protects people’s “We’ve lost the practical
honest mistakes from being differentiation between human
seen as culpable. But what is error, at-risk, and reckless
an honest mistake, or rather behaviours. In doing so, we’ve
when is a mistake no longer created only one standard:
honest?” PERFECTION.......”
In 1900, Wilbur wrote to his father,
accepted risks.”
MANAGING HUMAN RISK IS THE KEY TO ENSURING FLIGHT SAFETY
Risk management is a balancing act. It involves balancing risks and rewards.
What did technology & automation do to us?
“My life was so simpler when apple and blackberry were just fruits”
Anonymous
“Online social media is one of the most ANTI-social things invented ever”
CT
http://youtu.be/R0rYX-Jn6o8
Travelling Public’s Expectation – Passenger Rights