parkfell, #110
et al,
'Error'; a word in many languages, but it has to be used in context - more often not so; thus 'error' is very emotive. If we choose to use error, then add explanation, context; failure to do so restricts opportunity for learning. *
Crews do not intend to make an error, but when we attribute it after the fact we only learn from our attributions - our biased point of view, not that of the crew, operator, or regulator. We should try to learn from 'adverse events' (link #65) opposed to 'error'.
'
That is the nature, the very life blood of what PPRuNe does.'
A frustration with Pprune is that it is difficult to differentiate between simmers - want to be pilots, and some pilots who act like simmers, and other contributors with interest, knowledge, and wisdom. Then the 'wait for the report' group, who then fail to read, or understand it when published - a frozen mindset. This could be the '
life blood of Pprune' - may be good for the web site, but not necessarily for aviation - wrong blood type.
The relevance to this thread is that these 'human' features can be identified in most cultures, operations, and crews. A way forward is to try to understand 'their' point of view - national culture, operations and infrastructure, and the individuals.
We must not let our culture dictate what is appropriate for others, nor without explanation attempt to force our views on them.
A lesson learnt from a discussion with a senior airline manager during an international ALAR safety promotion (India). Error and thence blame were embedded in that culture; blame (and punishment) had to be identified for closure, and although this restricted what might be learnt it did not prevent learning in their way of thinking - their culture.
The Indian DGAC did publish materials (FSF ALAR tool kit) - their format; there was a 2 hr 'blockbuster' video on monsoon conditions - every aircraft at every wet runway in India - the message 'divert or go around'.
Each to their own, a balanced view, explanation, and justification.
'Error' after the event; risk before hand.
Risk - the amount of uncertainty that crews are expected to manage in a situation.
*
https://www.ida.liu.se/~729A71/Liter...berti_2001.pdf
'…
the gap between risk-control and actual risk-management. … collectively, our societies will have to agree not to lie to themselves about safety issues.'
https://www.icesi.edu.co/blogs/bitac...nd-failure.pdf