“Just Culture”-a multidimensional conceptEPC Seminar Budapest Oct. 27th-28th

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Your facilitators

Anders, former controllerTraining SpecialistDevelopment Specialist

Anne-Mette, former B737 driverTraining SpecialistDevelopment SpecialistMSc. HF & System safety

●The venue itself

●The dinner

●Your folder

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Practicalities

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A request to you

Paneltopics/questions

‘just culture’ means a culture in which front-line operators or other persons are not punished for actions, omissions or decisions taken by them that are commensurate with their experience and training, but in which gross negligence, wilful violations and destructive acts are not tolerated;

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From EU Regulation 376/2014

The definition(s)

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The broad purpose

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11. Each organisation established in a Member State shall, after consulting its staff representatives, adopt internal rules describing how ‘just culture’ principles, in particular the principle referred to in paragraph 9, are guaranteed and implemented within that organisation

The legislation

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The legislation

Each organisation shall adopt internal rules describing how ‘just culture’ principles are guaranteed and implemented within that organization.

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(34) In order to ensure the confidence of employees or contracted personnel in the occurrence reporting system of the organisation, the information contained in occurrence reports should be protected appropriately and should not be used for purposes other than maintaining or improving aviation safety. The internal ‘just culture’ rules adopted by organisations pursuant to this Regulation should contribute in particular to the achievement of this objective. In addition, the limitation of the transmission of personal details, or of information allowing the identification of the reporter or of the other persons mentioned in occurrence reports, by a clear separation between the departments handling occurrence reports and the rest of the organisation, may be an efficient way to achieve this objective

The legislation

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The legislation

(34) In order to ensure the confidence of employees, information should be protected. The internal ‘just culture’ rules should contribute to this. In addition, the limitation of information allowing the identification of the reporter, may be an efficient way to achieve this objective

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(37) A ‘just culture’ should encourage individuals to report safety-related information. It should not, however, absolve individuals of their normal responsibilities. In this context, employees and contracted personnel should not be subject to any prejudice on the basis of information provided pursuant to this Regulation, except in cases of wilful misconduct or where there has been manifest, severe and serious disregard with respect to an obvious risk and profound failure of professional responsibility to take such care as is evidently required in the circumstances, causing foreseeable damage to a person or to property, or seriously compromising the level of aviation safety.

The legislation

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The legislation

A ‘just culture’ should encourage individuals to report, but not absolve individuals of their normal responsibilities. Employees should not be subject to any prejudice on the basis of information provided, except in cases of wilful misconduct or profound failure of professional responsibility.

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But:

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The legislation

In the context of developing a ‘just culture’ environment, Member States should retain the option of extending the prohibition on using occurrence reports as evidence against reporters in administrative and disciplinary proceedings to civil or criminal proceedings.

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Quote from dutch aviation prosecutor

Between these two worlds there is the world of Just Culture. Just Culture stresses the often complicatedrelationship between the propagation of aviation safety and the administration of Justice at national level.

The world of aviation is by nature international, it is dynamic and very sensitive to safety.

On the other hand the world of the prosecutor and the courts is by nature national, resistant to progressive change and very sensitive to the rule of law.

These are two distinct worlds that seldom meet.

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The detailed purpose

To gather as much data as possible in order to be ableto enhance aviation safety

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Balancing openness and tolerance

Openness Tolerance

Just Culture

To learn Be just

Calls for accountability are about TRUST

A just culture should be able to both:

Satisfy the demands for accountability

Contribute to learning and improvement

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Balancing Safety and Accountability (Dekker)

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Two types of accountability

●Strong focus on outcome

●Blame & Shame philosophy

● To satisfy the public

●Backward-looking accountability has a harmful effect on organizational learning.

●Retrospective accountability will make people tell fewer accounts

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Backward-looking accountability

●Accountability derives from the principle of FAIRNESS

● Forward-looking accountability strives for context understanding, learning and future system improvements.

●Mistake, harm, opportunities and responsibility

●Seen from the perspective of the practitioner, fairness and trust will only emerge through prospective accountability.

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Forward-looking Accountability (Sharpe)

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Discretionary space – a freedom of choice

The operator brings resilience to the system

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Why are we here?

The purpose of the seminar is to:

• Give an overview of the coming legislation

• Create awareness of the many aspects of a Just Culture.

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The programme

●EUROCONTROL Safety survey●The juricidial system●The trade associations

Insight from:

Different perspectives from two ANSP’s

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The programme

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