Just The Facts, Please

摘要

The paper presents a positionfor improved hazard identification through adequate mishap reporting. Tracking of mishap trends and lessons learned is discussed in the context of a positive indication of performance characteristics and actions that serve to identify and resolve or reduce residual risk. The paper further explores approaches to identifying sufficient standards for mishap reporting to more accurately support operational and system safety risk management efforts usign military experience. Rational for imposing increased reporting requirements for identified areas of higher exposure, greater consequences, or special interest is explored. Availability of mishap related information and effective system safety tracking documentation may be the only means to provide validation o system performance relative to safety concerns. Follow on options based on automated hazard tracking databases is also discussed as a parallel efforts in harmony with lessons learned based on mishap reporting. The paper asserts how adherence to selective mishap documentation requirements can assist safety professionals, engineers, and managers in more readily and proactively addressing safety realted field issues. Users of mishap databases would be allowed to concentrate more on performance characteristics and actions that ensure satisfactory safety performance than on defending the data. Reporting specifications are validated through examples and associated lessons learned. The paper includes different program approaches to safety related issues and incidents to demonstrate the flexibility and the utility of a properly specified reporting and tracking systems. The paper goes on to discuss the conflict between apparent success and potential failure based on most credible and worst possible outcomes. Approaches to giving a positive spin to the consideration and manipulation of numerous potnetial database issues is discussed. Intent is to present options for improved reporting by aviation operators and supplementation by informatio nmanagers that may result in improved databases of source information that more directly support system safety tools and processes.