Accident/incident reporting is a vital part of any safety program because it keeps upper management informed on the current safety conditions of the organization. It allows the Director of Safety to be able to conduct investigations in order to improve the safety culture of the airline. In addition to improving safety conditions within the organization, the safety department may also use the FAA’s Aviation Safety Information Analysis and Sharing System (ASIAS) to report safety issues which may help other organizations as well (Rodrigues & Cusick, 2012). In order to report an accident or an incident, it is important to understand the definitions of certain occurrences as set forth by the NTSB. Clarence C. Rodriguez and Stephen K. Cusick …show more content…
Another factor in accident/incident reporting is that the organization should be set up to encourage the reports. Trust is a factor that must be considered. The person who is making the report needs to know that the report will not be used against them in some fashion. If there is a danger of this, people will be reluctant to make a report (Rodrigues & Cusick, 2012). Confidentiality is also important, so that the identity of the reporter will not be disclosed. That way, emphasis will be placed where it should be, on the incident itself rather than the person making the report (Rodrigues & Cusick, 2012). The reports should be easy to formulate with enough space to give as much detail in the description and also have a space where a suggested solution can be made. Acknowledgement is a significant way to keep the reporter in the loop by giving them periodic feedback as to the actions in response to the report. This will help in making reporters feel like they are part of the solution instead of being part of the problem (Rodrigues & Cusick, 2012). It is a key factor to keep everyone informed of incident reports in order to encourage a culture of …show more content…
Unlike near miss reports, hazard reporting doesn’t require a certain type of event to happen. Hazard reports usually take the form of a risk assessment matrix or similar diagram to identify the inherent risks involved in doing particular tasks. An effective risk management system will encourage the use of hazard reports to give the organization an opportunity to assess risks, identify hazards, and implement controls to mitigate these hazards (Rodrigues & Cusick, 2012). The matrix weighs two factors of risks: severity of risk and likelihood of occurrence. The image below is an example from FAA Advisory Circular
The investigation was also one of the largest international law enforcement endeavors of its time (Birkland, 2004). This tragedy, like most devastating events, changed the course of history and is a directly affected aviation safety as we know it today. The forensic findings during the investigation also helped change aviation safety policy and procedures. The result was improvement in training for airport security personnel, examination of quality control issues and heightened aviation security regulations (Birkland,
In all the National Transportation Safety Board concluded there were twenty-three findings that directly contributed to this airplane accident. I will address the ones I feel carried the most impact where if the instance was removed the accident would have be...
In order for hospitals to be reimbursed from government based insure companies certain standards must be met. When standards are not met, any subsequent cost in relationship to preventable errors will not be remunerated (Youngberg, 2011). These preventable errors are termed never events. Never events are considered error that can be prevented if certain checklist and guidelines are in place are followed such as medication errors, falls with injury, wrong surgical site, and pressure ulcers (Agency for Healthcare Research and Quality, 2012). There are currently ten mandated never events (Youngberg, 2011). In order to avoid these preventable human errors, risk manager help implement policies and procedure. This process based on risk analysis and outcomes which helps to improv...
In our organization we have had many revisions to our safety process. Originally, it was at our hospital that the 1996 well known “Willy King” incident, about the amputation of the “wrong” leg occurred. As a response to the incident, we were required to develop a root-cause-analysis and develop a plan to avoid similar situations in the future. We were one of the first hospitals to establish a “safety process” in the surgical environment. Through inter-disciplinary collaborati...
The Federal Aviation Administration in its System Safety Process Steps handbook defines a hazard as “a condition, event, or circumstance that could lead to or contribute to an unplanned or undesired event” (Federal Aviation Administration, 2005, p. 1). The focus here will be on the “unplanned” event and the desire to avoid any injury, illness, or death of people and any damage to equipment or property; or harm to the environment. I will take a look at the identification of hazards as they pertain to aviation both through observation of current events and through analysis of past events. After looking into hazard identification I will next look at hazard assessment. The process of determining the likelihood the hazard will occur and the impact the hazard could have. Next I will examine some of the control measures that can be employed to mitigate the hazard. Finally, I will look at hazard analysis in Safety Management Systems (SMS) as an ongoing effort to improve safety continuality. After all the mitigation of hazards is what SMS is all about.
Safety in the ethics and industry of aerospace technology is of prime importance for preventing tragic malfunctions and crashes. Opposed to automobiles for example, if an airplane breaks down while in mid-flight, it has nowhere to go but down. And sadly it will often go down “hard” and with a high probability of killing people. The Engineering Code of Ethics states first and foremost that, “Engineers shall hold paramount the safety, health and welfare of the public.” In the aerospace industry, this as well holds very true, both in manufacturing and in air safety itself. Airline safety has recently become a much-debated topic, although arguments over air safety and travel have been going ...
As a result of the investigation of this accident, the Safety Board has made recommendations to the Administrator of the Federal Aviation Administration.
The Colgan 3407 crash is one of the most infamous examples to analyze in the aviation industry. This flight just so happened to be littered with potential hazards that, if recognized at the time could have broken a link in the error chain and resulted in a safe arrival. For one, both of the pilots traveled far distances to get to the airport that they were required to fly out of. Traveling long distances is a large cause of fatigue. Along with that, the First Officer also had a slight cold, so her condition was not one in which she should have been flying. Their physical conditions likely hindered their mental agility, but on top of that, they also disregarded routine safety practices such as the sterile cockpit rule. Instead of focusing on their duties, they continued their personal discussion and let it become a distraction to their flying. The conditions in which they were flying that night
2. Detection of Incidents: It cannot succeed in responding to incidents if an organization cannot detect incidents effectively. Therefore, one of the most important aspects of incident response is the detection of incidents phase. It is also one of the most fragmented phases, in which incident response expertise has the least control. Suspected incidents may be detected in innumerable ways.
A candidly of risk occurs in every organisation. Governance principals and the occupational health and safety urge that the organisations take reasonable measures to hinder loss, charge or rage to the organisational and all stakeholders/management. Injury and accidents can even happen ultimately with stringent OHS and the fact that an accident when occurs, does not mean that someone is liable if all responsible steps for prevention or minimisation has been taken.
United States of America. Department of Transportation. FAA. Human Error and Commercial Aviation Accidents: A Comprehensive, Fine-Grained Analysis Using HFACS. FAA, July 2006. Web. 22 Mar. 2014. .
Being involved in an airplane accident is a nightmare scenario for any air travelers, crew and pilots alike. Statistically air travel is among the safest means of transport, but at the same time it is also associated with sporadic accidents that have proven to be extremely terrifying ordeals for all those involved due to a vast array of reasons. The causes of these accidents are of varying nature and depend on some problems that are originated during some stage of the flight process.
Although workplace accidents are very common, the majority of them can be prevented. As a company, you are obliged by the law to protect your employees, so it is important to take the necessary actions that will minimize the risk of accidents (Intelligent HQ, 2015).
Many times the Safety Officer, if you will, is accused of not being a team player. Being chastised for doing ones job is not the most effective way to promote a safety minded environment. Also on the other side of the coin the Safety Officer must implement or correct s...
In the past, the term "accident" was often used when referring to an unplanned, unwanted event. To many "accident" suggests an event that was random, and could not have been prevented. Since nearly all work site fatalities, injuries, and illnesses are preventable, OSHA suggests using the term "incident" investigation. An incident usually refers to an unexpected event that did not cause injury or damage this time but had the potential. "Near miss" or "dangerous occurrence" are also terms for an event that could have caused harm but did not.