March 21, 2013
By CAPT. DANIEL OMALE
Again, this week, Dana Air’s operating certificate was temporary
suspended. Professionally, what the crew did was right; instead of
grounding the airline, it suspended its license. When the crew noticed a
minor fault in the electrical system, they simply briefed the
passengers and a replacement aircraft was provided to take the customers
to Lagos. The aircraft was still on ground, at the pre-flight stage;
and, even, if the airplane was already airborne, the best decision would
have been to come back to the airport of departure or divert to the
nearest airport for safety.
Grounding an airline for a sound
professional decision such as this is another sign of political
influence on professionalism, and an infringement on crews’ decision
process. A captain of an aircraft can decide, in the interest of
safety, not to fly an airplane, if he or she finds the aircraft not
airworthy enough. At the same time, there is no reason to punish or
reprimand the airline if the crew points out a defect for rectification.
Aircraft,
like all machines and mechanical devices, are susceptible to failures
and disorderliness. The only remedy is to have competent mechanics and
vigilant crews. That was exactly what happened in Dana’s case.
The
danger in publishing every minor discrepancy in airline operation is
the threat it poses to the airline in question, and a persistent
instigation of fear in the mind of the traveling public. We cannot keep
stereotyping an airline or create a situation where an airline is
synonymous with accidents. Any airline in the world can experience an
accident as long as humans are in charge.
The most important aspect of aircraft accident investigation is to learn from the cause(s) of the crash.
Establishing a culture of safety reporting:
Timely
and accurate reporting of safety occurrences is critical to modern
aviation safety management programs. ICAO has long recognized that
establishment of a proper safety culture is key to effective safety
reporting. According to the ICAO Safety Management Manual (ICAO Doc.
9859, 2nd edition), certain attributes and traits are necessary for an
organization to perform well in this area.
The five basic attributes of an effective safety reporting organization are as follows:
A demonstration of willingness to report errors and experiences
Information is received from knowledgeable aviation professionals
Flexibility
of reporting is available for information to travel directly to the
appropriate decision maker in unusual circumstances
A learning organization with the ability to draw conclusions and implement major reforms
An accountable organization where people are encouraged and rewarded for providing essential safety-related information
Experience indicates that successful incident reporting systems employ most of the following characteristics:
Trust:
Persons reporting incidents must be able to trust the recipient
organization and be confident that any information they provide will not
be used against them. Without such confidence, people are reluctant to
report their mistakes, and they may also be reluctant to report other
hazards they are aware of. For an incident reporting system to be
successful, it needs to be perceived as being non-punitive with regard
to unintentional errors or mistakes.
Confidentiality:
Non-punitive systems are based on confidential reporting. The person
reporting an incident must be sure that his identity and other
information that may be used to identify those involved will not be
disclosed.
Independence: Ideally, an incident reporting system
should be run by an organization divorced from the federal agency that
is also responsible for the enforcement of aviation regulations.
Accordingly, some countries, including the United States, use a third
party for the management of so-called voluntary reporting systems. The
third party receives, processes, and analyses the submitted incident
reports and feeds the results back to the federal agency and the
aviation community. With so-called mandatory reporting systems, it may
not be possible to employ a third party. Nevertheless, it is desirable
that the federal agency give a clear understanding that any information
received will be used for accident prevention purposes only. This
principle also supplies to an airline or any other aircraft operator
that uses incident reporting as part of its accident prevention program.
Ease
of reporting:
The task of submitting incident reports should be as easy
as possible for the reporter. Reporting forms should be readily
available so that anyone wishing to file a report can do so easily. They
should be simple to compile, with adequate space for a descriptive
narrative, and they should also encourage suggestions on how to improve
the situation or prevent a recurrence. Classifying information such as
type of operation, light conditions, type of flight plan, weather, and
so forth can be presented in a “check” format. The forms should ideally
be self-addressed and postage-free.
Acknowledgement: The
reporting of incidents requires considerable time and effort by the user
and should be appropriately acknowledged. Whenever possible, feedback
on the actions taken in response to a report should be provided to the
reporting person.
Motivation and promotion: The information
received from an incident reporting system should be made available to
the aviation community as soon as possible, as this may help to motivate
people to report further incidents. Such promotional activities may
take the form of monthly regular e-mail or internet bulletins,
newsletters or periodic summaries. Ideally, all such methods would be
used with a view to achieving maximum exposure.
Dana air airline should be commended for displaying professional competence, not retribution.
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