22 Jan 24:
Complacency Kills. In numerous accident reports we see "complacency" cited as a probable cause. So what proactive weapons do we have to defeat complacency?
1) Checklist discipline is a continuing challenge, the industry will benefit from education on the purpose, design and use of critical item checklists. Research by Drs Degani and Dismukes comes to mind, recommended reading The Multitasking Myth: Handling Complexity in Real-World Operations.
2) Be situationally aware of each new mission as it presents itself. With our ultra safe system and as we build experience, it is easy to develop an expextation bias that everything is going to be A-OK. We can shift from expectation bias to threat expectation, we know that things can and will go wrong. The next mission will never be flown on the same date/time conditions as the last.
3) Fiercely support the front line, the person most likely to discover a chink in the system's armor. For folks who are not on the front line, go beyond involvement in a mission to commitment to safely accomplish the mission. Ex: A dispatcher is involved with a flight's safe completion. The flight crew is committed.
4) Share learning lessons as expeditiously as possible to increase the knowledge, skills, resources and experience of the crew/fleet/business/system. Don't wait a year for the final mishap report, share Threat Bulletins as soon as the threat is discovered, and let the team take action at their level.
We've been doing this study since the Wright Brother's first crash, and I have sobering examples of WHY we need to do safety better, and be the betterest at safety.
Suggestions? Questions? I hope you have both.
Fly Smart
POC: Kent Lewis. (850) 449-4841. lewis.kent@gmail.com
References:
Google Dr Asaf Degani and checklist to learn why checklists are designed the way that they are.
Google Dr Key Dismukes for fantastic, readable book on Pilot Error, Multitasking Myth
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