Explore the implications of blaming the person who committed the ‘active error’ – that is the final chink in the defense that caused the accident to happen.

AVS 408: Flight Safety – Essay
Word count: 3000 words
Submission date: Monday 30 November 2015
Aviation safety can be enhanced by a climate of cooperation and honesty where aviation professionals will come forward and admit bad judgment and mistakes made, thus enabling us to find out what really happened and prevent a re occurrence. A culture in which aviation professionals are blamed and held accountable for their inadvertent errors discourages the front-line operators from reporting any kind of mistake, with a consequent reduction in safety information and hence, aviation safety. Critically discuss these two statements and comment on whether you think that a just culture is the way forward.

ABSTRACT AND SKELETON TO BE HANDED IN ON 17TH NOVEMBER

Your essay needs have an:
Abstract
Introduction
Body of essay
Discussion/Conclusion
References using APA style

Abstract
Should be approximately 150 – 250 words in length and reflect the whole of the essay including the results.
An example of an abstract
The Herald of Free Enterprise accident resulted in a number of prosecutions including the Captain and Bosun and other staff, the company and the designers. In the end the seaman whose job it was to close the bow doors was the one held accountable for the accident.
The purpose of this paper is to explore the implications of blaming the person who committed the ‘active error’ – that is the final chink in the defense that caused the accident to happen. Would this prevent the accident from happening again or are their other organizational defenses that failed?
This paper considers the accident as it evolved with the facts of what happened on the day and examines the organizational factors that contributed to the accident including the design of the ship, previous incidents that could have indicated flaws in the system, the inability of the Captain to observe what was happening on the car deck, the company pressure for on time departures and the chain of command that all contributed to this accident.
The paper will conclude with a number of assertions that nothing will be learned from this accident by blaming the person who didn’t shut the bow doors and, indeed where further accidents have happened since by the company not implementing the recommendations of the commission set up to examine the accident.
223 words
Introduction
Approx 100 words.
Describe what you are going to say in the essay, how you will say it and what you intend the reader to know from the essay.
There are basically 3 points of discussion in this essay. You can introduce each one and briefly mention how they relate to one another and introduce the discussion you intend to make about each point.
Body of Essay
For this assignment I would recommend splitting the essay into 3 parts:
Part 1 –discuss the reporting of mistakes and errors as well as the impact that this has on aviation safety. This can be fairly descriptive and should be about 400 – 500 words.
Part 2 – describe the criminalization of aviation accidents. You can briefly describe some accidents and particularly the people who were accused / investigated and eventually criminally prosecuted, the sentence imposed as well as the consequences to individual / airline etc. You should then discuss the impact that this has on aviation safety. Does it have an impact on reporting errors and ultimately, does it enhance safety or impede safety? About 600 – 700 words.
Part 3 – discuss the concept of just culture. Describe what it is, what it means in reality, and whether you think that this should replace a blame culture in the aviation industry. Would this have a positive impact on aviation? How?
Parts 2 and 3 are the major part of your essay and you are required to be analytical and give a balanced view. You need to bring in research from journal articles that debate this issue. About 600 – 700 words.
Discussion/Conclusion
Sum up what you have said in the essay and give your opinion at this stage as to whether or not reporting enhances safety, whether a blaming culture discourages reporting and whether it has a negative impact on safety and whether a just culture would be the way forward. About 200 words.

Reference list
This should be on a separate (new) page to the rest of the document and each reference should be in alphabetical order. If you look on googlescholar.com you will find under each description a ‘cite’ button. Second reference is APA style. Press this and it will give you the full reference in APA style for the article.
You may include a Bibliography which is in the same style as the reference list but contains articles or books you have read but not used within the article. This shows a wide range of reading.

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