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2
IATA
International Air Transport Association
International trade body
Established in 1945
237 Member airlines
93% of scheduled international air
traffic
EC-Just Culture 19th of April 2012, Brussels
19th of April 2012, Brussels EC-Just Culture 4
“ Humanum fuit errare, diabolicum est
per animositatem in errore manere”
Saint Augustinus, I A.D.
... “ It is human to err; it
is devilish to remain
willfully in error”
5
What is just ?
For an Individual
For an Organization
For the Regulator
For the Justice
EC-Just Culture 19th of April 2012, Brussels
6
A Just Culture ?
…or a Safety Culture:
Reporting Culture
Learning Culture
Informed Culture
EC-Just Culture 19th of April 2012, Brussels
7
Why a Just Culture ?
Need to manage by facts…not by
guess;
To establish facts we need
information;
Front line personnel one of the best
source of information;
EC-Just Culture 19th of April 2012, Brussels
8
Why a Just Culture ?
Need to protect the source of
information, but also….
Need to ensure the highest
operational discipline !
EC-Just Culture
19th of April 2012, Brussels
9
Just Culture and Occurrence Reporting
Mandatory Vs. Voluntary Reporting
Credibility
Confidentiality
Ownership
Protection of reporters
EC-Just Culture 19th of April 2012, Brussels
10
Protection of reporters
3600 protection from:
Employer
Media
Civil Aviation Authorities
State
…if the police or a magistrate ask for the data, how do you protect ?
EC-Just Culture 19th of April 2012, Brussels
11
Protection of reporters
States have different
opinions/laws which sometime
override/challenge protection
from blame or repressive action
Cases of criminal investigations
on persons/organizations
reporting occurrences i.a.w.
Reg. 2002/42
EC-Just Culture 19th of April 2012, Brussels
12
Protection of reporters ≠ Immunity
Gross negligence and willful
misconduct never acceptable
Within an SMS environment,
post an error:
an Operator shall take
effective action to mitigate
the risk, including, if required,
training or re-training of an
individual
EC-Just Culture 19th of April 2012, Brussels
13
Just Culture is a matter of
trust
Success by working together:
The Industry
The Regulators
The Employees
The States
EC-Just Culture 19th of April 2012, Brussels
14
…is a matter of trust
Trust takes a long time to build,
and only a few moments to be
destroyed…
EC-Just Culture 19th of April 2012, Brussels
19th of October 2011, Köln EASA -SAFA 15
May 31 - June 1, 2011
Miami, FL
LATAM/CAR RCG 30 15
Thank you
Safe Journey
Giancarlo Buono
EC-Just Culture
Brussels
19th April 2012