A good reference for better understanding non adherence to SOPs is the report tilted “Bending the rules – why people break rules or fail to follow procedures – and what you can do about it”. Amongst the several authors are James Reason and Patrick Hudson.
There is an on-line copy in the CRM Developers Group forum at
crm-devel : Neil Krey's CRM Developers Forum you will have to join the group to gain access to the files section; - there are many other safety/CRM references as well.
There is a briefing on Improving Procedural Compliance, and a Procedure Assessment Tool, both based on the previous reference, in the library at
Aviation.Org (free registration), again there are several other useful references.
A range of resources can be found at ‘Hearts and Minds’
Hearts and Minds - in the ‘Managing Rule Breaking’ section. A significant part of this work was instigated by Patrick Hudson.
There is a very comprehensive toolkit from the Rail Safety and Standards Board which can be downloaded from the RSSB website as a WinZip file. The toolkit is 2.7 MB in file size and it might take a few minutes to download.
To download the toolkit and view the download instructions go to
http://www.rssb.co.uk/pdf/reports/re...it%20final.pdf and then / also:-
http://www.rssb.co.uk/pdf/research_m...06/Toolkit.zip
Dan Maurino (ICAO) suggested that “deficiencies in standard operating procedures might be at the root of all violations”. I don’t have any hard evidence to support that belief, but my experiences from incident investigation suggest that procedural design is a major contributor along with crews not understanding a situation and thus choosing an incorrect course of action.
The latter ties in with the previous post and weaknesses in human behaviour.