Incident investigations have long been a key part of Safety Management System activities that a good airport operator is expected to undertake.
Safety reporting is the life-blood of a modern safety management system. In the early days of implementation, a great deal of effort was (and still is) expended in increasing the reporting of safety events (incidents and other occurrences) and hazards. As an industry, we’ve discussed and debated no-blame and just cultures. We’ve promulgated policies and waved flags, telling our team members that we can’t manage what we don’t measure. And we’ve implemented safety occurrence reporting systems to capture all this information.
If we’ve been successful in these endeavours, we’ve then faced a new problem - what do we do with all these reports? A classic case of be careful what you wish for!
Over the past year or so, I've written about a couple of topics that seem to have converged into this post. Airport professionalism, the application of aerodrome regulations (twice), runway strip standards and accidents were topics I recently explored and after doing so more research I stumbled across a couple of incident investigations in Australia that bring these previous articles together.