Where Birds Don't Fly

Conventional wisdom is that a safety management system (SMS) policy must be enforced for compliance. There are several reasons why an SMS policy cannot be enforced, and the two main reasons are that an SMS enterprise works within a just culture and root cause analysis of special cause variations.  JUST CULTURE A just culture refers to an organizational environment or approach that promotes fairness, accountability, and learning when dealing with human errors, mistakes, and system failures. The concept originated in the field of aviation but has since been applied to various industries, including healthcare, nuclear power, and others where safety is critical. In a just culture, there is a balance between holding individuals accountable for their actions and recognizing that errors often result from systemic issues rather than individual negligence. The goal is to create an atmosphere where personnel, including accountable executive (AE) and mangers, feel comfortable reporting errors...