1. ATO Western Service Area
Technical Operations
Sustaining a JUST Culture

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

3. 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.

4. 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.

5. 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.

6. 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

7. 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 )
CPR & First Aid Training
Environmental Compliance
Workplace Inspections – OSHA Compliance
Fatigue Study
Automated External Defibrillator (AED) Program
Safety Stand Down

8. 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

9. 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

10. 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

11. Questions?