Says Accident Investigators And Safety Regulators Should Take A
A closer examination of management and management systems in
aviation organizations is a key to further improving air
Management systems should be proactively targeted by both
accident investigators and the safety regulator.
The call for in-depth scrutiny of the management of airlines and
other air operators was made by CASA chief executive officer, Bruce
Byron, in a speech to the International Society of Air Safety
Byron said accident investigators and CASA may need to
bring in people with management expertise even if they have no
"Our people have a lot of good technical skills and experience,
and so do you," Byron told the accident investigators.
"But where do we stand when we push the envelope beyond the
immediate technical issues associated with an accident and start to
get involved in an organization’s management processes.
"In my experience with large organizations, particularly where
they have a duty of care for the safety of people, I have seen
evidence of potential deficiencies in management
"This is nothing new,
but we need to be confident we have the skills to objectively
review management processes and procedures that may be somewhat
removed from the technical fields with which we are most
"We need to be proactive in targeting, for example, management
Byron said scrutiny of management was a real issue for CASA as
new regulations were being drafted that would require the
implementation of safety management systems by air operators.
He told the accident investigators another important issue was
making sure the results of crash investigations are actively used
to improve safety.
"Most importantly, it is vital that all the good material that
you produce does not fall into some electronic black hole or
database – without being used by the decision makers in the
"Your information needs to be constantly trended, assessed and
compared with data from other sources – not every decade, not
every year, but all the time."