TS30 | 4 days
Conducting a successful Human Error based investigation can be complex. Despite all efforts, a Just Culture and unequivocal objectivity, it is still difficult to establish the root cause of an error and to provide your leadership team with a clear picture of what is really going on. All too often the same mistakes keep happening – so what is going wrong? How can you truly understand why errors are occurring and develop effective recommendations to help stop them happening again? ‘Practical Skills for Investigators’ will help you understand root cause, and enable you to effect changes that result in improved operational efficiency and ultimately a better bottom line.
Delivered exclusively for your company
How will this course benefit me?
EU 376/2014 stipulates that organisations operating in the civil aviation environment must effectively report and collect safety information, with appropriate action being taken on the information collected. This course enables you to meet this requirement. It will equip you to become an effective Investigator, to make the causative link between contributory factors and human error, to develop effective and sustainable interventions and to present findings which will:
• Greatly contribute to your organisation’s Safety Management Systems and efficiency standards
• Find preventable errors and minimise their likelihood of reoccurrence
• Make systems more resilient to similar incidents
• Realise operational efficiencies by reducing error and unnecessary rework
• Better clarity and understanding of your risk picture
• Improve the performance of your Just Culture policy
• Enhance reporting and investigation outcomes
Key areas of focus
• Emphasis is placed on the human element of error in particular an understanding of cognitive processes in order to develop realistic, effective and sustainable interventions.
• Current investigation tools employed in the aviation industry
• The investigation process, planning and understanding Root Cause Analysis
• Interview skills, interview planning, questioning techniques and dealing with difficult situations
• Collection of data including objective and subjective evidence
• Analysis of evidence/data and risk assessment of findings
• The role of and interaction with the Event Review Group
• Extensive scenario based practical exercises
Is this course right for me?
This is a practitioner level course, ideally suited for new and prospective event investigators, typically:
• Flight Safety Officers
• CRM / Human Factors Specialists
• Safety Managers
• Investigators from all disciplines of an operation / organisation
• Flight Operations Managers
This course can also be delivered in-company at your site facilities and if necessary adapted so that it meets your specific needs. Speak to a Baines Simmons learning advisor to enquire further.
This course would also benefit:
• Regulatory Authority Inspecting Staff
• Newly-promoted Operations / Functional Managers
This course is also suitable if you wish to gain a deeper understanding of ‘Just Culture’ within your SMS or if
you are experiencing resistance in engaging in effective reporting within your organisation.
Prerequisites
Delegates should previously have attended training in Human Factors and be within date (2 years) for their refresher
training. A basic understanding of Just Culture principles will also be beneficial.
Course details
Course format: This course is a balanced mix of group discussions, flipchart work and PowerPoint presentations.
Managed syndicate exercises give you the opportunity to practice the application and evaluation of new processes
and techniques.
Course level: Practitioner Level Training (P) is suitable for those who have worked in the subject for some time, are
familiar with core terminologies and concepts and are looking to develop or update their level of knowledge and
practical understanding.
Assessment process: No formal assessment. Formative feedback is provided by the facilitator.
Course size: 8 persons maximum at our Aviation Safety Academy or on-site at your facility. This small class size enables full delegate participation in the scenario based practical exercises.
No, this course does not address issues such as casualty notification, media management and wreckage recovery. This course is designed to address the needs of investigators tasked with eliminating system failures and near misses initiated by your internal safety reporting systems.
A thorough understanding of Human Factors is essential to ensure that your investigators make the causative links between failures and the safety recommendations they propose. Too often we see interventions that are ineffective, inefficient, or unsustainable, and as a result problems come back or the burden brought by the recommendation is greater than the original issue.
Yes, however, the term Root Cause is often misunderstood, which often leads people to mis-identify or over simplify the causes of the originating issue. This course explains the misconceptions caused by the term and the benefits of a human centric causal analysis. The course covers a systematic process that guides investigators through investigation planning, data gathering and debriefing, recommendation development, and delivery of a final report.
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