Internal Occurrence Management Scheme

 Internal Occurrence Management Scheme (OMS). 

An Occurrence Management Scheme should contain the following elements:  

  • clearly identified aims and objectives; 
  • demonstrable corporate commitment with responsibilities for the Occurrence Management Scheme clearly defined;  
  • corporate encouragement of uninhibited reporting and participation by individuals; 
  •  disciplinary policies and boundaries identified and published; 
  • an occurrence investigation process;  
  • the events that will trigger error investigations identified and published; 
  • investigators selected and trained; 
  • OMS education for staff, and training where necessary; 
  •  appropriate action based on investigation findings• feedback of results to workforce; 
  •  analysis of the collective data showing contributing factor trends and frequencies.                       
  • The aim of the scheme is to identify the factors contributing to incidents, and to make the system resistant to similar errors. Whilst not essential to the success of an OMS, it is recommended that for large organisations a computerised database be used for storage and analysis of occurrence data. This would help enable the full potential of such a system to be utilised in managing errors.               
  • Elements of an OMS 
  • an  should enable and encourage free and frank reporting of any (potentially) safety related occurrence. This will be facilitated by the establishment of a just culture.
  •  An organisation should ensure that personnel are not inappropriately punished for reporting or co-operating with occurrence investigations; 
  • a mechanism for reporting such occurrences should be available;  
  • a mechanism for recording such occurrences should be available;  
  • significant occurrences should be investigated in order to determine causal and contributory factors, ie. why the incident occurred; 
  • the occurrence management process should facilitate analysis of data in order to be able to identify patterns of causal and contributory factors, and trends over time;  
  • the process should be closed-loop, ensuring that actions are taken to address safety hazards, both in the case of individual incidents and also in more global terms; 
  •  feedback to reportees, both on an individual and more general basis, is important to ensure their continued support for the scheme; 
  • the process should enable data sharing, whilst ensuring confidentiality of sensitive information.

Popular posts from this blog

Human Factor Introduction

Human Factor -  A  Person working in a maintenance environment requires human factor knowledge as per his job requirement. Human Factor Training  - Aviation safety relies on maintenance. When it is not done correctly , it may cause an incident or an accident.  Mistakes of maintenance personnel is difficult to detect. They are subjected to work in changing working in variety of adverse conditon. Regulatory Requirement : CAR 66 Module 09 Human factor - for get AMEL Human Factor   - Study of human capabilities and limitations in the workplace.   It is about study of the interaction  of maintenance personnel, the equipment used, the written and verbal procedures and  rules followed by them, and the environmental conditions of any system.  Aim of human  factors is to optimise the relationship between maintenance personnel and systems to improve  safety, efficiency, and well-being. HF - Fitting the man to the job and the job to th...
Read more

SHEL(L) Model

Model are used to understand human factor  as a framework around which human factor issues can be structured. SHEL(L),PEAR, Dirty Dozen  S - Software H - Hardware L - Liveware E - Environment                                         Liveware  is at the center of the model, is   the most critical and flexible component in the working  Environment and subject to considerable variations in performance and suffer many limitations.                           Physical size and shape.  In the design of workplace and equipment, body measurements and movements is considerd , which may vary according to factors such as age, ethnicity and gender. Human Factors inputs is provided  in the design process, and data for these inputs are available from anthropometry, biomechanics and k...
Read more

Information Processing Limitation

Human information processing  have limitations.   AMT requires support such as reference  to written material (e.g. manuals). Attention and Perception -  A proportion of ‘sensed’ data may be lost without being                              ‘perceived’.   Failing to  perceive  something  which   someone  has said to you, when you are concentrating on something else, even  though the words would have been received at the ear without any problem.  Information processing system has  ability  to perceive   something (such as a picture,                       sentence, concept, etc.) even though some of the data  may be missing.  Danger - people can fill in the gaps with  information from their own store of knowledge or experience, and this may lead to  t...
Read more