Flight Safety Digest

kingshan

Flight Safety Digest
Vol. 24 No. 3 March 2005


In order for these workers to come forward and
report errors or mistakes, an organizational
climate conducive to such reporting must exist
— a just culture.
The report was developed by the Flight Operations/
ATC Operations Safety Information Sharing
Working Group of the Global Aviation Information
Network (GAIN). In providing the report to members
of the aviation safety community, the working
group hopes to achieve the following objectives:
• Provide an overview of what is meant by a
just culture;
• Heighten awareness in the international aviation
community of the benefits of creating a
just culture;
• Provide a portrayal of just culture implemented
in aviation organizations and share
lessons learned; and,
• Provide initial guidelines that might be
helpful to others wishing to benefit from the
creation of a just culture.
To obtain information for this report, the working
group conducted a literature review and gathered
information from several aviation organizations
that have begun to implement just culture principles
and concepts. The report provides a discussion
of the theories and principles of a just culture,
information on the benefi ts of a just culture, steps
an organization might take to begin creating a just
culture, and describes case studies of organizations
that have begun implementing a just culture.
Reason (1997) describes a just culture as an atmosphere
of trust in which people
are encouraged, even rewarded, for
providing essential safety-related
information, but in which they
are also clear about where the line
must be drawn between acceptable
and unacceptable behavior. An effective
reporting culture depends
on how the organization handles
blame and punishment. A “no
blame” culture is neither feasible
nor desirable. Most people desire
some level of accountability when
a mishap occurs.

tonhan

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simon86

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abdelazize

thanks a lot