My last post was meant to initiate a discussion
about the priority of standard operating procedure in airline operations. Is it important? Why or why not was the type of comment I
hoped readers would articulate?
Unfortunately, there were few comments pro or con. Therefore, I am going to try to argue both
sides of this issue. Those of you that
know me understand my appreciation of the “one liner”. So, considering the fact that I am going to
have to conduct the debate by myself, here’s a great one.
“I may be
a schizophrenic, but at least we have each other.”
I have shared my objective for this blog before. It
is to initiate a dialog between airman and aviation related professionals to
discuss what we do as well as how and why we do it. Aviation is a very unique activity and
therefore requires active participation over a considerable time period to make
introspective and vulnerable comments on related complex issues. It is very easy for management or
simulator/instructor pilots to be critical and judgmental of the line pilot. It
is not an arrogant critique; I have been there myself. The judgment does come, however, from a lack
of identification with the everyday challenges that are line flying.
Many companies espouse the primary importance of
a safe operation, but out of the other side of their mouths preach
efficiency. They have endless charts
depicting data that shows where the pilots can be more efficient. There are detailed presentations showing the
company’s operational performance compared with the competition. When it comes to a safe operation, however, the
strategy is simply procedural compliance.
Unfortunately, it’s not that easy.
This reminds me of the young petroleum engineer
who asked his mentor, “How can I be successful in the oil business?” The seasoned “oil man” replied, “It’s easy,
get up early, work hard, find oil.”
Line Operational Safety Audits, LOSA,
demonstrates the vulnerability of safe operations to intentional or
unintentional non-compliance with SOP.
Error avoidance is always desired, however, error management achieves
the same goal and is the essential link between procedure and safe
operation. Threat and Error Management IS bridge between procedure and
safe operations.
Safety and efficiency are competing priorities,
however, not mutually exclusive goals.
You can be safe and efficient at the same time, but not without vision, resources,
mentoring and experience. The job of the
professional airman, specifically that of the airline pilot, has never been
more challenging. The machine and the
environment have never been more complicated or crowded with threats. A set of best practices is invaluable for
airline flight crews. Navigating this
“mine field” takes absolute and complete focus by the crew. Every other group the crew interfaces with
has their own agenda. Gate, ramp, mx,
ATC as well as the customer all have their minds focused on an “on time”
operation while at the same time assuming a safe operation. The crew cannot “assume” a safe
operation. They are the “keeper of the
flame”. They must not lose sight of the
primary goal, a SAFE OPERATION, in pursuit of procedural compliance. Delayed flights, lost bags, misconnected
passengers, mx delays are all unfortunate situations, but all can be
overcome. An aircraft incident or
accident cannot be erased. Safe
Operations is all about prevention. A
replay is not an option. If threats and
errors are not managed the outcome is not assured. If the outcome is unsatisfactory, there can
be no “do overs”.
Standard Operating Procedure, SOP, is recognized
as the best way to ensure a safe operation, however, it is not that
simple. Getting flight crews to be highly
compliant with SOP is not easy. Crews
are not defiant, but they are generally not committed either. By “not committed“, I mean they don’t understand
why the procedure is in place and why it is crucial to a safe operation. The rationale is obvious to the one who wrote
the procedure, but not necessarily to the line pilot. The line pilot is faced with literately
hundreds of competing dynamic threats on each flight, therefore the rationale
for a procedure is very important.
Prioritization, or “workload management” as it is referred to, is the
line pilot’s world. If absolute
procedural compliance were really practiced, airlines would rarely operate on
time. Some procedures or regulations are
written simply for the sake of liability.
When things go wrong, the excuse “We told them not to do that”, allows
plausible deniability for those upstream in the organization. Very rarely, if ever, do crews that
understand the justification for a procedure blatantly disregard it.
Let me emphatically restate my position, Standard
Operating Procedure, SOP, is the best way to pursue a safe operation. However, it is not that simple. To get a high level of compliance it requires
“buy in”. “Buy in” is the understanding
and the internalization of the rationale for a procedure. When airline flying was less complex the “buy
in” was much easier. Nowadays the
environment is far too complex for the procedural rationale to be self evident
or assumed. For “buy in”, airline
operators must be able to articulate the answers to the following 7 questions
for every procedure. Not every line
pilot will ask these questions, but when one does it must be answered
satisfactorily. Many procedural
justifications are self-evident many are not.
Either way, every instructor/management pilot must be supplied with and
understand the answers to these questions so that they may educate the line
pilots and earn “buy in”.
- What is the threat that the procedure is designed to mitigate or manage?
- What is the justification for the procedure? What does the data say?
- Does the procedure conflict with any other policy or procedure?
- How does the procedure specifically manage or mitigate the threat?
- Is there a potential for undesired consequences from the mitigation strategy? (Additional threats)
- What is the strategy to prevent these undesired consequences?
- How is the procedure trained?
If these questions can be answered and
communicated effectively to the line pilots and there is still intentional non-compliance
the airline needs to reevaluate their hiring criteria. Once airlines have committed to hire pilots
that understand and value a safe operation, the company’s operational
leadership owns the responsibility for “buy in” to SOP.
I will continue the discussion of “buy in” in a
future post, but to quote Simon Sinek, the author of START WITH WHY, “there are
only two ways to motivate people. You
can either manipulate them or inspire them.”
Another sage post…unfortunately to an apparently apathetic audience.
ReplyDeleteThere are so many critical areas that are touched on in this post, but not forcefully enough stated nor thoroughly enough explored.
Just a few, all of which need the whys to be answered:
The lack of replies to the posts
Vulnerability issues of discussing complex issues
A lack of identification with the everyday challenges that are line flying
Safety v. efficiency
Proliferation of technology
A too complex environment
Could it be that deep down, the author realizes that many professional pilots don’t really care about this stuff and that a thoughtful exploration would fall on deaf ears? Or, is it that ‘Buy In’ is too expensive?
Maybe it is just “not that simple.”
Great comments, Thank you!
ReplyDeleteI certainly have my opinions on the "whys", but I love to here what "ya'll" think about these things.
I hope to further explore some of them and other in the future. Once again thanks for taking the time to make a comment.