ATO Western Service Area Technical Operations Sustaining a JUST Culture

Executive Summary Definition of Safety Culture Understanding the elements of a Safety Culture Components of INFORMED culture Sustaining a JUST Culture

Safety Culture Definition: Shared Values, Actions, Behaviors Demonstrating a commitment to safety over competing goals and demands What is a Safety Culture? Ultimate objective of a strong safety culture is to prevent accidents Current knowledge about the human, technical, organizational, and environmental factors "Components of Safety Culture: Definitions of Informed, Reporting, Just, Flexible and Learning Cultures” - James Reason Safety Culture Definition: Safety Culture is defined as the shared values, actions, and behaviors that demonstrate a commitment to safety over competing goals and demands. What is a Safety Culture? The ultimate objective of a strong safety culture is to prevent accidents. According to James Reason's "Components of Safety Culture: Definitions of Informed, Reporting, Just, Flexible and Learning Cultures," a safety culture is an informed culture in which those who manage and operate the system have current knowledge about the human, technical, organizational, and environmental factors that determine the safety of the system as a whole. An informed culture develops when the following four elements exist: A reporting culture - an organizational climate in which people are prepared to report safety lapses and potential safety hazards. A just culture - 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. A learning culture is willing to change based on safety indicators and hazards uncovered during assessments, data mining and incident investigation. A flexible culture adapts effectively to changing demands and allows quicker, smoother reactions to out of the ordinary events.

Safety Culture Components of INFORMED culture REPORTING culture JUST culture LEARNING culture FLEXIBLE culture Safety Culture Definition: Safety Culture is defined as the shared values, actions, and behaviors that demonstrate a commitment to safety over competing goals and demands. What is a Safety Culture? The ultimate objective of a strong safety culture is to prevent accidents. According to James Reason's "Components of Safety Culture: Definitions of Informed, Reporting, Just, Flexible and Learning Cultures," a safety culture is an informed culture in which those who manage and operate the system have current knowledge about the human, technical, organizational, and environmental factors that determine the safety of the system as a whole. An informed culture develops when the following four elements exist: A reporting culture - an organizational climate in which people are prepared to report safety lapses and potential safety hazards. A just culture - 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. A learning culture is willing to change based on safety indicators and hazards uncovered during assessments, data mining and incident investigation. A flexible culture adapts effectively to changing demands and allows quicker, smoother reactions to out of the ordinary events.

REPORTING Culture An organizational climate in which people are prepared to report safety lapses and potential safety hazards. Technical Operations – Safety Action Plan (T-SAP) OSHECOMM Meetings - Work Permits Project Scope Agreements Integrated Safety Risk Management Plans Water Quality Triennial Report Asbestos Reporting T-SAP is working to foster a voluntary, cooperative, non-punitive environment for open and confidential reporting of aviation-related safety concerns. At T-SAP Online, the Air Traffic Organization's Technical Operations Services employees can report safety-related events or issues pertaining to operations, equipment, personnel, or anything that they think affects safety in the NAS. In the report that they submit online, employees have an opportunity to provide valuable safety information to the T-SAP Event Review Committee. T-SAP is modeled after the very successful Aviation Safety Action Programs (ASAPs) used in the aviation industry. Over sixty-nine (69) aviation companies have operating ASAP programs. ASAP can be traced back to the early 1970s and a voluntary safety reporting program at United Airlines. ASAPs use employee input to identify significant safety concerns and issues; operational deficiencies; non-compliance with regulations; deviations from company policies and procedures; and unusual safety events. In partnership with each participating aviation organization, employee labor organizations, and the FAA, each ASAP report is analyzed and corrective actions determined based on a non-disciplinary approach to improving safety. Voluntary safety reporting programs, such as TSAP, are part of a positive, vibrant, safety culture.

JUST Culture 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. Credibility – Character & Competence Integrity Intent Capability Results

LEARNING Culture Willing to change based on safety indicators and hazards uncovered during assessments, data mining and incident investigation. Electrical Safety Training – ARC Flash Fall Protection: Authorized Rescuer & Climbing Fire & Life Safety Initiatives (20CFR 1960.20) CPR & First Aid Training Environmental Compliance Workplace Inspections – OSHA Compliance Fatigue Study Automated External Defibrillator (AED) Program Safety Stand Down

FLEXIBLE Culture Adapts effectively to changing demands and allows quicker, smoother reactions to out of the ordinary events. Adjusting current procedures Runway Safety Area Workforce Engagement – Gallup Survey Green Initiatives (Photo-Voltaic) FY12 Safety Work Plan Lockout Tag Out, HAZMAT Waste, Fall Protection & Electrical Safety Adapting Social Media Applying Lessons Learned Japan Earthquake & Tsunami

Tsunami Preparation Scenario Shelter in place Accountability Earthquake – Kailua-Kona Honolulu Control Facility Shelter in place Engineering HNL ATCT Tower - Structural Capability Procedures Risk Mitigation Facility Evacuation Implementation Drill Accountability

Sustaining a Just Culture Commitment (Integrity) All Levels: Leaders/Partners Collaboration/Communication (Intent) Take Ownership/Take Action Education, Processes & Procedures (Capability) Using knowledge & skills Implementation & Adjustment (Results) Accountability - Lessons Learned & Improvement

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