Just Culture
Just Culture was developed in the crewed aviation and could be described as follows:
- 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.
- Informed: organisations collect and analyse relevant data, and actively disseminate safety information.
- Learned: organisation are able to learn from their mistakes and make changes. It will also ensure that people understand the safety management and processes at a personal level.
- Flexible: organisations and the people in it are capable of adapting effectively to changing demands.
- Just: errors and unsafe acts will not be punished if the error was unintentional. However, those who act recklessly or take deliberate and unjustifiable risks will still be subject to disciplinary action.
- Cultivating an atmosphere where people have confidence to report safety concerns without fear of blame. Employees must know that confidentiality will be maintained and that the information they submit will be acted upon, otherwise they will decide that there is no benefit in their reporting.
- When someone made a mistake or had an incident, they know they can report without any fear of disciplinary type recriminations. The easier way of dealing with it is to ignore it, when the right way of dealing with it is much much harder, and just culture makes that shift possible.
Occurence Reporting
CAP722, 9th edition amendment1:
Occurrence reporting systems are not established to attribute blame or liability.
Occurrence reporting systems are established to learn from occurrences, improve aviation safety and prevent recurrence.
The purpose of occurrence reporting is to improve aviation safety by ensuring that relevant safety information is reported, collected, stored, protected, exchanged, disseminated and analysed. Organisations and individuals with a good air safety culture will report effectively and consistently. Every occurrence report is an opportunity to identify root causes and prevent them contributing to accidents where people are harmed.
The reporting requirements are as follows in the Open (left) and the Specific (right) categories:
