Description:
Incidents and accidents require the coming together of a number of enabling factors, each one necessary, but in itself not sufficient to breach system defenses. Major equipment failures, or operational personnel errors, are seldom the sole cause of breaches in safety defenses. Often these breakdowns are the consequence of human failures in decision-making. The breakdowns may involve active failures at the operational level, or they may involve latent conditions conducive to facilitating a breach of the system’s inherent safety defense. Most accidents include both active and latent failures.
This course provides attendees with an overview of the procedures and methods used and the skills required to investigate aviation related incidents and accidents. Facilitated class exercises involving actual industry events are used to demonstrate and practice particular aspects of the investigative process. Participants will learn; how to plan and conduct investigations, the difference between accidents and incidents, the importance of conducting thorough investigation’s, methodology used in root cause analysis, report writing and how to effectively incorporate the resulting safety actions into the organization.
Course Benefits:
Completing this course will provide the attendees with the necessary insight to contribute to their organization’s Safety Management System by providing them with:
- Understanding of investigation concepts and tasks
- Greater confidence during conducting investigations
- Skills to conduct much more beneficial investigations for the organization
- Knowledge and skills to improve Return on Investment (RoI) to the organization by clearly identifying root causes of the incidents
- Better understanding of their role in determining the latent conditions that lead up to accidents and incidents
Learning Objectives:
- Understand the importance of airline safety management system, processes, and controls
- Understand the importance of comprehensive and robust accident and incident investigation processes
- Understand basic accident and incident investigation processes and procedure
- Optimize the value of the investigation process
- Recognize common investigative errors, omissions, and weaknesses
- Prepare accurate and comprehensive accident and incident investigation reports
- Ensure that investigation report results are utilized in accordance with SMS requirements
Key Areas of Focus:
- Data collection process
- Interview skills
- Data analysis process
- Properly documented Findings and Observations
- Report Writing
- Root Cause Analysis
- Corrective Actions and Follow-up
- Just Culture Process