Developing a SCMT for European ANSPs · MEASUREMENT TOOLKIT (SCMT) FOR EUROPEAN ANSPS Dr. Barry...

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DEVELOPING A SAFETY CULTURE MEASUREMENT TOOLKIT (SCMT) FOR EUROPEAN ANSPS Dr. Barry KIRWAN, EUROCONTROL, Safety Improvement Research Dr. Kathryn MEARNS, UNIVERSITY OF ABERDEEN, Industrial Psychology Research Centre Dr. Richard J. KENNEDY, BOEING R&T EUROPE, New Programs and Safety 8 th USA / Europe Air Traffic Management Research & Development Seminar (ATM 2009)

Transcript of Developing a SCMT for European ANSPs · MEASUREMENT TOOLKIT (SCMT) FOR EUROPEAN ANSPS Dr. Barry...

Page 1: Developing a SCMT for European ANSPs · MEASUREMENT TOOLKIT (SCMT) FOR EUROPEAN ANSPS Dr. Barry KIRWAN, EUROCONTROL, Safety Improvement Research Dr. Kathryn MEARNS, UNIVERSITY OF

DEVELOPING A SAFETY CULTURE MEASUREMENT TOOLKIT (SCMT) FOR EUROPEAN ANSPSDr. Barry KIRWAN, EUROCONTROL, Safety Improvement ResearchDr. Kathryn MEARNS, UNIVERSITY OF ABERDEEN, Industrial Psychology Research CentreDr. Richard J. KENNEDY, BOEING R&T EUROPE, New Programs and Safety

8th USA / Europe Air Traffic Management Research & Development Seminar (ATM 2009)

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Introduction to Safety Culture in ATM

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• Safety is not just reliability of ATM/Aircraft equipment and the robustness of the management systems and operational procedures – there are other less tangible considerations.

• Safety Culture is the 'third age of safety' – it has been shown to be a key predictor of safety performance in many industries, including nuclear, chemical, off-shore and rail.

• The concept has been used in relation to ATM although it is not clear how it should be used when applied to ATM – hence the project was born.

Background

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A Safety Culture Model

“The safety culture of an organisation is the product of individual and group values, attitudes, competencies and patterns of behaviour

that determine commitment to, and the style and proficiency of, an organisation’s health and safety management”

Advisory Committee for Safety on Nuclear Installations (HSC, 1993, p. 23)

What is BelievedWhat is Believed

What is SaidWhat is Said What is DoneWhat is Done

Safety Performance

Safety Performance

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Safety Cuture Measurement Toolkit

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Understanding Safety Culture

Understanding Safety Culture

Developing a Safety Culture

Measurement Tool

Developing a Safety Culture

Measurement Tool

2005: Literature Review & Survey of 4 ANSPs

2006: Tool Development & Safety Managers Workshops

Safety CultureEnhancement

Safety CultureEnhancement

Development & Deployment Plan

2009 - 2013: Circa 30 ANSPs surveyed

2007 - 2008: Tool Deployed at 8 ANSPs

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SAFETY CLIMATE(the ‘mood’)Questionnaires

SAFETY CULTURE(the ‘personality’)Interviews and focusgroups

Focus on Safety Climate & Culture

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The SCMT Process

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The 13 Safety Culture Elements

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SAFETY CULTURE

Commitment

Team work

Just, Reporting & Learning

Involvement

Responsibility

Communications& Trust

The priority given to safety in organisational planning and day to day operations,

both at the management and operational levels Acceptance at the

organisational and individual levels of the responsibility for

safety

Employees’ and Managers’participation in safety

discussions, activities and improvements

Vertical and horizontal communication channels are

efficient, and people have faith in the processes, their

peers and managers

People are willing to report safety occurrences, without fear of being blamed and the Organisation having the will and capability to learn from

safety occurrences

Cooperation and coordination between team members

(within a team, across teams)

Cooperation and coordination between team members

(within a team, across teams)

Safety Culture Themes

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The Questionnaire

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The Workshops

• About 5-6 groups of 4-6 people + up to 3 people of assessment team (facilitators/scribes).

• 3 hrs for each session with a break after about 2 hours.

• Assessment team needs to be seen as impartial.

• No management or safety team members in workshops with engineers and ATCOs.

• ‘Inexact’ but pragmatic process to explore issues, ensure understanding, evaluate priority, consider ‘resolutions’.

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SAFETY CULTURE

Commitment

Teaming

Learning &Reporting

Responsibility

Involvement

Communications& Trust

• Analysis of Safety Culture Questionnaire highlights items / themes where there are ‘issues’for respondents - Identifies what is happening; what people perceive going on around them.

• Workshops explore these issues in more detail & try and identify ‘good practice’ -Determines why it is happening and what might be done to solve the problem.

Outputs from SCMT

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Deployment of Tool in European ANSPs

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Deployment Process

Pre‐discussions Pre-launch of SafetyCulture Assessment

Workshops

LaunchSurvey Kickoff

Interviews & Workshops

Analysis & Conclusions

Safety Culture Analysis

Feedback & Way Ahead

Distribution ofQuestionnaires

Familiarisationvisits

Additional DataCollection

Initial Safety Culture Analysis

Interviews

Safety Culture Diagnosis

Initial Analysis

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Questionnaire: Top 5 Items

1

1,3

3,6

3,6

3,3

2,3

2

2,3

3,6

3,9

96,8

96,7

94,1

92,9

92,8

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Only my manager hasresponsibility for safety

Only the Safety Departmenthas responsibility for safety

Each member of staff hasa responsibility to keep up

with changes toprocedures

If I do something wrong, Ican discuss it with my

colleagues withoutworrying about the

consequences

I have confidence in thepeople that I interact with in

my normal workingsituation

% of respondents

% unfavourable

% neutral

% favourable

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38.5

35.5

46.4

53

60.3

20.9

26.1

17.9

15.2

12.2

40.5

38.3

35.8

31.8

27.5

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

We have sufficient safetyexperts and support staff in

house

There is a lack of feedback onthe results of safety initiativesthat we have participated in

The other people in theorganization do not understandour job and the safety roles we

fulfil

Feedback from incidentscomes months or years laterwith few recommendations

Even if the system fails, we arestill expected to achieve thetargets that are set for us

% of respondents

% unfavourable % neutral % favourable

Questionnaire: Bottom 5 Items

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Example Questions: Ops Staff

56.3 16.8 26.9

21.7 23.9 54.3

38.5 15.4 46.2

0% 20% 40% 60% 80% 100%

In ATC everyone know sabout some accident ‘justw aiting to happen’ (C3)

Inmaintenance/engineeringeveryone know s about

‘some accident’ justw aiting to happen’ (E13)

Changes to theorganization and the ATCsystem do not increase

safety-related risks(M20)

Unfavourable Neutral Favourable

Risk Awareness

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56.3 16.8 26.9

21.7 23.9 54.3

10 30 60

15.4 30.8 53.8

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

In ATC everyone knows aboutsome accident ‘just waiting to

happen’ (C3)

In maintenance/engineeringeveryone knows about ‘some

accident’ just waiting tohappen’ (E13)

I know where controllersdraw the line between safeand unsafe practice (M6)

I know wheremaintenance/engineeringpersonnel draw the line

between safe and unsafepractice (M11)

Unfavourable Neutral Favourable

Example Questions: Managers

Risk Awareness

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Validation of the Approach

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• Face Validity:– Does the method / measures look valid? Does it make sense?

• Content Validity:– Does the method or measure represent relevant area of interest? – Feedback from ANSP Managers & comments from ANSP personnel

who have completed the questionnaire indicate that statements make sense to the respondents and cover issues considered to be of importance for good safety performance.

• Construct Validity:– Is the theory behind the method appropriate? Tested statistically by

factor analytic techniques.

• Predictive Validity:– Is desirable but not possible to test at this time.

Validation Criteria

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Validation of Questionnare: EFA

• Two separate data sets analysed using Exploratory Factor Analysis (EFA) (n=119 & n=310).

• Both data sets revealed a single over-arching ‘Safety Culture’ factor (i.e. most items loaded on this factor).

• Not possible to distinguish separate underlying safety culture ‘themes’ such as ‘Reporting’; ‘Teaming for Safety’; ‘Learning from Incidents’ and ‘Commitment to Safety’.

• Could be issue with small sample size and ratio of items to respondents (i.e. too many items/ too few respondents).

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Validation of Questionnare: CFA

• Confirmatory Factor Analysis (CFA) determines whether there is a good fit of data to a theoretical model, e.g. safety culture consisting of underlying factors of trust; commitment; communication; etc.

• First stage involved dropping items that were ‘troublesome’ for >15% of respondents, e.g. difficult to understand, N/A.

• 38 items tested across four ANSPs using AMOS 4 with multiple goodness of fit indices (i.e. Chi2, RMSEA, CFI & GFI).

• Series of models run until best fitting model found for ANSP 2 (note this ANSP had largest sample size).

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Validation of Workshops

• Validity– Good face and content validity

• Consistency– Eurocontrol team use consistent

approach in workshops, applicable toall ANSPs

• Usability– ANSPs need support of Eurocontrol

team to conduct workshops• Insight

– For ANSP 1 another organizationconducted a safety culture surveyfinding similar results

• Auditability– Independent audit of process was

generally positive• Sensitivity

– Approach seems to be sensitive to the context of operations and human factors

• Usefulness– Not evaluated to date

• Resources– Not evaluated to date

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Is Safety Culture an Issue?

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A SESAR & NEXTGEN Enabler

• The SCMT approach achieves the objective of understanding the content and processes behind creation of the Safety Culture in ANSPs.

• In a period of change, such as those that will be introduced through SESAR and NEXTGEN, it will be important beforehand to ensure a high-level of Safety Culture across European ANSPs.

• Safety Management Systems (SMS), only when accompanied by strong Safety Culture, will help provide a robust 'safety back-bone' to see ATM safely through this transition to the next generation of ATM.

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Safety Culture White Paper

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Chapter 5Safety Culture and Safety

Management Systems

Chapter 1What is Safety Culture?

Chapter 2Safety Culture in context

Chapter 3Changing Safety Culture

SECTION 1Inside Safety Culture

SECTION 2Assessing Safety

Culture

Chapter 1Identifying improvements

Chapter 4: Opening Minds

Chapter 5Learning to learn

Chapter 6Day to day Safety Culture

Chapter 2Walking the talk

Chapter 3Making a difference

SECTION 5FAQ

CASE A

CASE B

CASE C

CASE D

Chapter 4Enablers and disablers

Links and references

SECTION 3Improving Safety

Culture

SECTION 4Case Studies of ANSP

experiences

Chapter 2Launching the survey

Chapter 1Getting started

Chapter 3Interviews and

Workshops

Chapter 4Analysis and conclusions

Chapter 5Feedback and way ahead

Chapter 5Re-assessing

Safety Culture Enhancement

http://www.eurocontrol.int/eec/gallery/content/public/videos/Safety_culture_in_ATM.swf

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Thank You for Your Attention