At 09:19 PM 11/05/05 +1000, you wrote:
> I have read with interest the ongoing debate on GFA safety. I think
>the debate keeps losing the thread that we need an awareness of incident
>causation, reporting and investigation, and analysis, and it is not limited
>to investigation of accidents. An incident system is a very necessary part
>of safety management. The reason we have incident reporting and
>investigation is for getting information on what can we be doing to improve
>performance, (granted we know many of the standard causes). The purposes
>of incident reporting and investigation are for enhanced communication of
>the risks, to ensure the incidents don�t recur, and to improve overall
>performance.
Absolutely, but unless the people reporting the incidents get to see the
reports published where everybody can see them the incentive to report will
go away. Which appears to be what has happened.
So there is a system currently but it isn't used and the troops on the
ground use something else. If a good CEO of a company saw this was
happening in his organisation he'd fix it. Better ones would have ensured
it never got that way.
The problem here is a small group in the "organisation" trying to keep all
knowledge and power closely held.
The structural problem is the heirarchical nature of the organisation. The
GFA isn't the military and it should not try to be. Emilis know that I am
getting at here I think.
Mike
Borgelt Instruments - manufacturers of quality soaring instruments
phone Int'l + 61 746 355784
fax Int'l + 61 746 358796
cellphone Int'l + 61 428 355784
Int'l + 61 429 355784
email: [EMAIL PROTECTED]
website: www.borgeltinstruments.com
_______________________________________________
Aus-soaring mailing list
[email protected]
To check or change subscription details, visit:
http://lists.internode.on.net/mailman/listinfo/aus-soaring
