Sunday, April 2, 2023

Human Factors

02 Apr 23:

Found a FrontlineActor + Error = Cause? Investigation complete? No, there is a process to follow utilizing the Human Factors Classification and Analysis System (HFACS), developed by Drs. Shappell and Weigmann. Give them a call and when you can use a guide by the side to help navigate the HFACS trail, we're ready to help.

We'll be honest though, we're not dealing with holes in cheese, we're dealing with picking each individual bit of cheese out of 4 dimensional fondue! That takes experience, which we have. 40 plus years.

Fly Smart,

Clark and Skipper

(850) 449-4841

We Speak Runway Safety, Fluently

 02 Apr 23:

Runway Incursions and Excursions rearing their ugly head? We partnered with industry and helped whack them down in 2008, and we can do it again. As subject matter experts we can advise your organization on tactics to mitigate the threat until technological mitigations can catch up. 

Don't do surgery on yourself, give us a call!

(850) 449-4841

Fly Smart

Clark and Skipper

2008 Runway Safety Action Team (RSAT)

Runway Safety

Safety Management System (SMS)

 02 Apr 23:

It's not rocket science. It's safety science, a simple process to follow, tried and true. Developed in the late 1980s for high reliability organizations that want to build resilience into their operation. Incorporated about 8 years ago into Part 121 airline operations, and now moving into airport ops. Scalable to any operation, even one person surrounded by a supporting team.


We've been following the process for 25+ years and have proven, safety award winning programs in military and civilian aviation to prove it. We'd be honored to help guide your organization along the same trail. 

Protect people and preserve property = major return on investment.

Fly smart,

Clark and Skipper

(850) 449-4841

Safety Management Systems

Essential Leadership Skills

 02 Apr 23:

Here are a few essential Leadership skills. Top priority for 21st Century safety = Communication to exchange knowledge. "When we know better, we do better." (Maya Angelou)


Fly Smart
Clark and Skipper
(850) 449-4841

Rest, Hydrate, Hear

 02 Apr 23:

The more things change, the more they stay the same. Key components to safe operations are ensuring we receive proper rest, eat nutritional meals and stay hydrated. That is our responsibility, rarely will anyone else look out for those essential needs except for what is the minimum required by regulation. And if minimum rest isn't enough, get some more. Don't fly if fatigued, someone else can do it. Easier to reschedule a flight than to conduct a mishap investigation. 

As for hearing, to get to the next level of safety we need to be better listeners and find common shared ground with all members of the team, whether they are on the ground or in the air. Communicate, collaborate, graduate.

Fly Smart,

Clark

Don't Be Joe

 02 Apr 23:



Dirty Dozen

02 Apr 23:

The Dirty Dozen has been around for a while. Some of the Dozen have been mitigated with technology and changes to airport infrastructure, procedure, etc... Some have not, especially runway safety hazards. Heightened awareness and in depth briefings are in order to help reduce the runway safety hazards until technological mitigations can be developed. Risk management must be done for every takeoff and landing, and the risks experienced today at one airport will be different the next takeoff or landing.


In the meantime, Look Outside. Listen. Do checklists while stopped. Scan the runway before taking off. To reduce excursions, fly a stabilized approach, as speed kills airplanes and people in this environment.

Look - Listen - Live.

Fly Smart,

Clark

Friday, March 31, 2023

MANAGING PRACTICAL DRIFT

31 Mar 23:

MANAGING PRACTICAL DRIFT 

What is the problem? Each year, workers are injured or killed and post incident investigations have often led to the identification of human factors (i.e., human characteristics that influence behavior) as contributing to the cause of the incident. In these cases, system workers may have failed to follow safety procedures and/or did not use safety equipment that could have either prevented the incident from occurring or lessened the extent to which they were injured. What is it that leads workers to engage in behaviors that are not safe? One explanation is by a process known as Practical Drift which is described as, “the slow uncoupling of practice from procedure.” Post pandemic another explanation is that increasing production goals slowly drift away from perceived protections. What may have worked before may not work as well due to massive changes in workforce experience, and practiced professionals may not be quite as practiced as they were before. 

In closely coupled systems of high reliability organizations, a failure of one safety net could result in a catastrophic mishap. Team resource management practices are one effective mitigation, buoyed by robust communications across all teams and information sharing. 

The following are some of the reasons why Practical Drift can occur. Some may seem absurd, but all must be considered:

• Bad habits, (i.e., “we’ve always done it this way”) 

• Seasoned workers relying on experience rather than written procedures - Consider in person training or e-briefs over bulletin training 

• Changes in procedure without authority 

• Over-confidence 

• Complacency 

• Belief that working faster is appreciated - "On Time" metric focus over safety metrics.

• A lack of belief in “safety first” - Regulatory agencies, executives and management must set the safety tone

• Employees lacking knowledge or necessary skills 

• Expediency, (i.e., a belief that work is done faster when corners are cut) - It is faster to do a job once correctly versus twice

• Competition to outperform other employees or other organizations 

• Defiance, attitude, and/or emotions - The safety culture must permeate the entire industry, from the newest employee to the most seasoned regulator or legislative authoritty.

• Lack of focus - Employee health and wellness must be valued

• Laziness

Safety management systems do not need to be complex, this Old Salt Capn Jack managed a 5 Star safety program at a large chemical company with a first generation digital camera and powerpoint.

What can be done about Practical Drift? 

1. Engage employees in a manner that could lead to a more profound sense of mindfulness in their work. Create work that considers protections to be a key component of efficient production. One mishap can wipe out years of potential profit. 

2. Increase safety awareness through conversations and dialogue with and between all levels, from senior leadership down, through and including every employee. Eliminate silos within companies and across sister organizations. We're only as good as the weakest link in the chain mail. Creative collaboration is in order.

3. Engage employees at all levels in conversations about Practical Drift. Employees must be educated and made aware of Practical Drift if they are to identify, understand and be willing to address it when it occurs in themselves and others within the entire system. Communications are circular, employees expect and deserve feedback on safety reports and improvement recommendations. 

4. Take time to build quality relationships in the workplace across all levels. Risk management communications should be engaging and frequent. 

5. As the Marines say, Gung Ho - Work together.

Adapted from the Shortline Safety Institute's online resource, as part of their campaign to continuously improve rail safety.

FMI: 

SLSI: https://www.shortlinesafety.org/wp-content/uploads/2022/06/ManagingPracticalDrift_SLSI_SafetyTip_2.pdf

Contact our team if you're looking to set up a Safety Management System, we have a few decades of award winning programs to draw experience from.

Fly Smart,

Clark and Skipper

(850) 449-4841



Sunday, March 19, 2023

Herb's Rules to Live By

 19 Mar 23:

Remember Herb's Rules to Live By:
1. Use a Checklist.
2. Look outside
3. Never fly hard IFR in a single engine aircraft

Herb flew from the age of 13 until his late 80s. The best pilot I ever flew with. Period. We sat down to discuss the top 3 things he'd emphasize when leaving Earth, and he spent some time up there, almost 40,000 hours airborne. When we flew he was the Chief Pilot for Van Bortel Aircraft, and his fingers danced around that Garmin 1000 like a virtuoso. I wasn't even sure how to power it up.


Fly Smart!

"Clark" Kent Lewis 
(850) 449-4841 
lewis.kent@gmail.com
Let's Aviate, Navigate and COMMUNICATE

Runway Safety Scuttlebutt (Knowledge)

 19 Mar 23: 

Learning Objectives:

Ask-Assess-Act  (The Triple A Model)

Look-Listen-Live

Communicate

Scuttlebutts are the drinking casks on old ships, and that is where crew congregated to share the word. And rumors. So if someone says they have some scuttlebutt, that means they have some info.

Rumors this week is that there is an uptick in runway incursions. There is in fact, multiple near hits since Jan 1 make us Ask what is going on, Assess the current system state and Act to implement mitigations to restore the system to a safe state. Ask-Assess-Act is the quickest system I have to conduct safety management.

We had a blog years ago and I transferred the musings to a new page, Signal Charlie. I'm going to bring that knowledge to this site over time. You can search here or there for good information, and share your tips with us. We care about each other and by sharing our collective knowledge increases. When knowledge increases, performance increases. It might be time to add to your safety library, and we'll talk more about that over the next few days.

It's going to be a bit or two before technology mitigates this threat, it is one the few remaining Dirty Dozen left over from the 20th Century. So what can we do today when operating near high energy state runways? We can do what we do at railroad crossings, we can Look-Listen-Live. That's an improved version of the old crossbucks that read Stop-Look-Listen.

Speaking of listening, we need to COMMUNICATE and listen to the system. Risk Management communications are not transmit only, they are transmit, receive and then ensure the message is understood, aka Readback. NASA Aviation Safety Reporting System (ASRS) collects hazard reports from the skies, codes and adds them to the database, and publishes a monthly electronic newsletter called Callback. Time to sign up, contribute and read. This one a few ways we know Howgozit.

Learning Objectives:

Ask-Assess-Act  (The Triple A Model)

Look-Listen-Live

Communicate

Questions? Answers? Feel free to communicate via comments, phone/text (850) 449-4841, or email lewis.kent@gmail.com I'm a lifetime learner, looking forward to hearing from you. 

Cheers,

"Clark" Kent Lewis

Old, but not Bold, Aviator


PS Skipper's degree is in Communications, so she's the expert in that arena. And she's a descendant of Patriot Pirates, so keep an eye on your prize or she will.

Monday, March 13, 2023

High Reliability Organization Leadership and Safety Courses - Rail, Air, Oil and Gas, Nuclear, Chemical

13 Mar 23:

Courses offered :

Leadership 

Transportation Safety Management Systems 

Human Factors 

Knowledge Management - Library and Information Systems


Contact: Kent B. Lewis, MLS or Audrey C. Lewis, MA

lewis.kent@gmail.com

(850) 449-4841

40 years experience.